Darla Lynn Blackbourn in Sycamore - Specialist
Darla Lynn Blackbourn - NPI 1356564793
Darla Lynn Blackbourn is a Specialist in Sycamore, Illinois. Darla Lynn Blackbourn practices all healthcare services and medical treatments related to Specialist. The NPI Number for Darla Lynn Blackbourn is 1356564793. The last update date is 2007-07-08.
Darla Lynn Blackbourn's current location address is 245 W Exchange St Ste 4, Sycamore, Illinois. You can contact this provider via phone number 8157625129. The mailing address for Darla Lynn Blackbourn is 245 W Exchange St Ste 4, Sycamore, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darla Lynn Blackbourn |
|---|---|
| Address | 245 W Exchange St Ste 4, Sycamore, Illinois |
| Phone Number | 8157625129 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DTV |
NPI Number Detail
| NPI Number | 1356564793 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 245 W Exchange St Ste 4 |
|---|---|
| City | Sycamore |
| State | Illinois (IL) |
| Post Code | 601781495 |
| Phone Number | 8157625129 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | DM02390599P |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique identifier code issued to Darla Lynn Blackbourn by the Centers for Medicare & Medicaid Services (CMS)?
The Darla Lynn Blackbourn has been assigned the NPI (National Provider Identifier) 1356564793. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Darla Lynn Blackbourn is physically located?
The Darla Lynn Blackbourn is situated at the following address: 245 W Exchange St Ste 4, Sycamore, IL 601781495.
What is Darla Lynn Blackbourn's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Darla Lynn Blackbourn is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did Darla Lynn Blackbourn receive its 1356564793 assignment from the Centers for Medicare & Medicaid Services?
The Darla Lynn Blackbourn was assigned its 1356564793 on 2007-04-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Darla Lynn Blackbourn's details last updated?
The information pertaining to the Darla Lynn Blackbourn, including its address, specialty, and other details, was most recently updated on 2007-07-08.