Jason Lee Blackham in Salt Lake City - Sports Medicine
Jason Lee Blackham - NPI 1821293242
Jason Lee Blackham is a Sports Medicine in Salt Lake City, Utah. Jason Lee Blackham practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jason Lee Blackham is 1821293242. The last update date is 2011-09-22.
Jason Lee Blackham's current location address is Po Box 27128, Salt Lake City, Utah. You can contact this provider via phone number 8013872750 and fax number 8013872755. The mailing address for Jason Lee Blackham is Po Box 27128, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Lee Blackham |
|---|---|
| Address | Po Box 27128, Salt Lake City, Utah |
| Phone Number | 8013872750 |
| Fax Number | 8013872755 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1821293242 |
|---|---|
| Provider Enumeration Date | 2007-06-16 |
| Last Updated Date | 2011-09-22 |
Provider Mailing Address Detail
| Address | Po Box 27128 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841270128 |
| Phone Number | 8013872750 |
| Fax Number | 8013872755 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Rs0010X |
| Licence No | 7216493-1205 |
|
Definition: An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and exp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00685134 | UT | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jason Lee Blackham by the Centers for Medicare & Medicaid Services?
The Jason Lee Blackham has been issued the NPI (National Provider Identifier) 1821293242 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jason Lee Blackham is physically located?
The Jason Lee Blackham is physically situated at the following address: Po Box 27128, Salt Lake City, UT, 841270128.
What is Jason Lee Blackham's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jason Lee Blackham is Sports Medicine, and the corresponding taxonomy classification code for this specialized field is 207Rs0010X.
On what date did the Centers for Medicare & Medicaid Services issue the 1821293242 to Jason Lee Blackham?
The Jason Lee Blackham received its 1821293242 assignment from the Centers for Medicare & Medicaid Services on 2007-06-16.
As of what date were the Jason Lee Blackham's details last updated?
The information pertaining to the Jason Lee Blackham, including its address, specialty, and other details, was most recently updated on 2011-09-22.
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