Tristan Dee Blackburn in Louisville - Rheumatology

Tristan Dee Blackburn - NPI 1417176249

Tristan Dee Blackburn is a Rheumatology in Louisville, Kentucky. Tristan Dee Blackburn practices all healthcare services and medical treatments related to Rheumatology. The NPI Number for Tristan Dee Blackburn is 1417176249. The last update date is 2021-11-17.

Tristan Dee Blackburn's current location address is 3991 Dutchmans Ln Ste 208, Louisville, Kentucky. You can contact this provider via phone number 5028996061 and fax number 5028996127. The mailing address for Tristan Dee Blackburn is 3991 Dutchmans Ln Ste 208, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Tristan Dee Blackburn
Address 3991 Dutchmans Ln Ste 208, Louisville, Kentucky
Phone Number 5028996061
Fax Number 5028996127
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1417176249
Provider Enumeration Date 2007-04-24
Last Updated Date 2021-11-17

Provider Mailing Address Detail

Address 3991 Dutchmans Ln Ste 208
City Louisville
State Kentucky (KY)
Post Code 402074723
Phone Number 5028996061
Fax Number 5028996127

Provider's Primary Taxonomy Detail

Speciality Rheumatology
Taxonomy 207Rr0500X
Licence No 46118
Definition:
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7100252740 KY --
201069110 IN --
50052639 KY PASSPORT- NORTON RHEUMATOLOGY

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FAQs about Tristan Dee Blackburn

What is the unique 10-digit identifier code assigned to Tristan Dee Blackburn by the Centers for Medicare & Medicaid Services?

The Tristan Dee Blackburn has been issued the NPI (National Provider Identifier) 1417176249 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Tristan Dee Blackburn?

The Tristan Dee Blackburn is physically situated at 3991 Dutchmans Ln Ste 208, in the city of Louisville, state of KY, with the postal code 402074723.

What is Tristan Dee Blackburn's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Tristan Dee Blackburn is Rheumatology, and the corresponding taxonomy classification code for this specialized field is 207Rr0500X.

When was the Tristan Dee Blackburn's 1417176249 issued?

The Tristan Dee Blackburn's 1417176249 was issued on 2007-04-24.

As of what date was the information regarding Tristan Dee Blackburn, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Tristan Dee Blackburn, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-11-17.

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