Individual
DR. EMMETT ANDREW BLAHNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
25749 US HIGHWAY 19 N STE 100, CLEARWATER, FL 33763-2004
(855) 724-6727
Mailing address
25749 US HIGHWAY 19 N STE 100, CLEARWATER, FL 33763-2004
(855) 724-6727
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4247-012
WI
111NR0400X
Rehabilitation Chiropractor
038-011886
IL
202D00000X
Integrative Medicine Physician
Primary
CH13897
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
038-011886
IL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
CH13897
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000015023
MEDICARE PTAN
WI
Enumeration date
12/16/2006
Last updated
12/01/2023
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