Blackburn Clinic, Inc. Ps in Kent - Sports Physician
Blackburn Clinic, Inc. Ps - NPI 1083899066
Blackburn Clinic, Inc. Ps is a Sports Physician in Kent, Washington. Blackburn Clinic, Inc. Ps practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Blackburn Clinic, Inc. Ps is 1083899066. The last update date is 2008-01-08.
Blackburn Clinic, Inc. Ps's current location address is 11107 Se Kent Kangley Rd, Kent, Washington. You can contact this provider via phone number 2538548880 and fax number 2538547160. The mailing address for Blackburn Clinic, Inc. Ps is 11107 Se Kent Kangley Rd, Kent, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blackburn Clinic, Inc. Ps |
|---|---|
| Address | 11107 Se Kent Kangley Rd, Kent, Washington |
| Phone Number | 2538548880 |
| Fax Number | 2538547160 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Blackburn Patrick Gary |
| Credentials | D.C, CCSP |
| Telephone Number | 2538548880 |
NPI Number Detail
| NPI Number | 1083899066 |
|---|---|
| Provider Enumeration Date | 2008-01-08 |
| Last Updated Date | 2008-01-08 |
Provider Mailing Address Detail
| Address | 11107 Se Kent Kangley Rd |
|---|---|
| City | Kent |
| State | Washington (WA) |
| Post Code | 980307707 |
| Phone Number | 2538548880 |
| Fax Number | 2538547160 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | CH00034702 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Blackburn Clinic, Inc. Ps by the Centers for Medicare & Medicaid Services?
The Blackburn Clinic, Inc. Ps has been assigned the NPI (National Provider Identifier) 1083899066 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Blackburn Clinic, Inc. Ps is physically located?
The Blackburn Clinic, Inc. Ps is situated at the following address: 11107 Se Kent Kangley Rd, Kent, WA 980307707.
What is the Blackburn Clinic, Inc. Ps's area of specialization and corresponding taxonomy classification?
The Blackburn Clinic, Inc. Ps's specialty field is Sports Physician, and it falls under the taxonomy code 111Ns0005X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1083899066 to Blackburn Clinic, Inc. Ps?
The Centers for Medicare & Medicaid Services assigned the 1083899066 to Blackburn Clinic, Inc. Ps on 2008-01-08.
When was the information regarding Blackburn Clinic, Inc. Ps, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Blackburn Clinic, Inc. Ps, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-01-08.