Individual
MR. GEOFFREY M BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3075 US ROUTE 60 STE A105, HUNTINGTON, WV 25705-8859
(304) 528-4600
Mailing address
3075 US ROUTE 60, HUNTINGTON, WV 25705-8859
(304) 528-4600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
01162
WV
363A00000X
Physician Assistant
Primary
PA972
KY
Other
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
Enumeration date
05/23/2006
Last updated
04/23/2025
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