Philip A. Blaney
Family Doctor Family Doctor - Sports Medicine
315 N Dan Jones Rd Ste 120
Plainfield
, Indiana 46168
Philip A. Blaney
Family Doctor Family Doctor - Sports Medicine
315 N Dan Jones Rd Ste 120
Plainfield
, Indiana 46168
(317) 865-1479
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Philip A. Blaney
- Po Box 781076
- Detroit, MI
- Zip : 48278-1076
- Fax : (317) 865-1479
- Phone : (317) 528-4800
Second Address
- Philip A. Blaney
- 315 N Dan Jones Rd Ste 120
- Plainfield, IN
- Zip : 46168
- Phone : (317) 837-4611
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 01076512A | IN |
| Y | 207QS0010X | Family Doctor - Sports Medicine | 01076512A | IN |
National Provider Identifier
| NPI | 1063850576 |
|---|---|
| Provider Name | Philip A. Blaney |
| First Address | Detroit, MI 48278-1076 |
| Second Address | Plainfield, IN 46168 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/06/2013 |
| Last Update Date | 20/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 300007592 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.