Dr. Edward A. Blanco is a Louisville, Kentucky based male chiropractor with 25 years of experience in General Chiropractor. He completed his graduation from Life Chiropractic College in 1999. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Edward A. Blanco as General Chiropractor is 290033 in Kentucky. Dr. Edward A. Blanco is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Edward A. Blanco speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Experience:
25+ years
Medical School Attended:
Life Chiropractic College
Graduation Year:
1999
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
12464 La Grange Rd, Louisville, Kentucky, 40245-1901
Phone:
502-205-2090
Fax:
502-205-2091
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1850542622
Enrollment ID:
I20121105000347
NPI Number:
1013003771
NPI Enumeration Date:
04 Oct, 2006
NPI Last Update On:
17 Jul, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Edward A. Blanco are as mentioned below.
License Number
Specialization
State
Status
290033
Chiropractor
Kentucky
Primary
DC0000001562
General Chiropractor
Tennessee
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Edward A. Blanco is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Optimal Health Pllc (4789840976)
11
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Edward A. Blanco such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
3970873
Medicaid
Tennessee
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
12464 La Grange Rd, Louisville, Kentucky
Zip:
40245-1901
Phone Number:
502-205-2090
Fax Number:
502-205-2091
Patients can reach Dr. Edward A. Blanco at 12464 La Grange Rd, Louisville, Kentucky or can call to book an appointment on 502-205-2090. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.