Tina Blackburn-Johns in Gallipolis - Clinical
Tina Blackburn-Johns - NPI 1316904691
Tina Blackburn-Johns is a Clinical in Gallipolis, Ohio. Tina Blackburn-Johns practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tina Blackburn-Johns is 1316904691. The last update date is 2007-07-08.
Tina Blackburn-Johns's current location address is 3086 State Route 160, Gallipolis, Ohio. You can contact this provider via phone number 7404465500 and fax number 7404414402. The mailing address for Tina Blackburn-Johns is 3086 State Route 160, Gallipolis, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina Blackburn-Johns |
|---|---|
| Address | 3086 State Route 160, Gallipolis, Ohio |
| Phone Number | 7404465500 |
| Fax Number | 7404414402 |
| Sole Proprietor | X |
| Credentials | LSW |
NPI Number Detail
| NPI Number | 1316904691 |
|---|---|
| Provider Enumeration Date | 2006-04-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3086 State Route 160 |
|---|---|
| City | Gallipolis |
| State | Ohio (OH) |
| Post Code | 456318409 |
| Phone Number | 7404465500 |
| Fax Number | 7404414402 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | S0024178 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 253701 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tina Blackburn-Johns by the Centers for Medicare & Medicaid Services?
The Tina Blackburn-Johns has been assigned the NPI (National Provider Identifier) 1316904691. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Tina Blackburn-Johns is located?
The Tina Blackburn-Johns is situated at the following address: 3086 State Route 160, Gallipolis, OH, 456318409.
What is the Tina Blackburn-Johns's specialty and taxonomy code?
The Tina Blackburn-Johns's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Tina Blackburn-Johns receive its 1316904691 assignment from the Centers for Medicare & Medicaid Services?
The Tina Blackburn-Johns was assigned its 1316904691 by the Centers for Medicare & Medicaid Services on 2006-04-28.
As of what date were the details related to Tina Blackburn-Johns most recently updated or revised?
The information pertaining to Tina Blackburn-Johns, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.