Provider Demographics
NPI:1689845398
Name:BLOINK & BLOINK CHIROPRACTIC
Entity Type:Organization
Organization Name:BLOINK & BLOINK CHIROPRACTIC
Other - Org Name:BLOINK CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BLOINK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:270-237-5070
Mailing Address - Street 1:200 E LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42164-1275
Mailing Address - Country:US
Mailing Address - Phone:270-237-5070
Mailing Address - Fax:270-237-5020
Practice Address - Street 1:200 E LOCUST ST
Practice Address - Street 2:
Practice Address - City:SCOTTSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42164-1275
Practice Address - Country:US
Practice Address - Phone:270-237-5070
Practice Address - Fax:270-237-5020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-20
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3770111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY8825Medicare PIN