# MR. GEOFFREY M BLANKENSHIP

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1841245750
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 01162 | WV | — |
| 363A00000X | Physician Assistant | PA972 | KY | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 04/23/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001807775 | BLUE CROSS BLUE SHIELD | WV |
| 05 | — | 0188020 | — | OH |
| 01 | — | 1069705 | WORKERS COMPENSATION | WV |
| 05 | — | 1841245750 | — | WV |
| 05 | — | 7100014080 | — | KY |
| 01 | — | P00372230 | RR MEDICARE | WV |