Ethan Wade Blackburn in Louisville - Hand Surgery
Ethan Wade Blackburn - NPI 1538387360
Ethan Wade Blackburn is a Hand Surgery in Louisville, Kentucky. Ethan Wade Blackburn practices all healthcare services and medical treatments related to Hand Surgery. The NPI Number for Ethan Wade Blackburn is 1538387360. The last update date is 2021-01-12.
Ethan Wade Blackburn's current location address is 315 E Broadway Ste 195, Louisville, Kentucky. You can contact this provider via phone number 5026294263 and fax number 5026294282. The mailing address for Ethan Wade Blackburn is 315 E Broadway Ste 195, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethan Wade Blackburn |
|---|---|
| Address | 315 E Broadway Ste 195, Louisville, Kentucky |
| Phone Number | 5026294263 |
| Fax Number | 5026294282 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1538387360 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2021-01-12 |
Provider Mailing Address Detail
| Address | 315 E Broadway Ste 195 |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402023700 |
| Phone Number | 5026294263 |
| Fax Number | 5026294282 |
Provider's Primary Taxonomy Detail
| Speciality | Hand Surgery |
|---|---|
| Taxonomy | 207Xs0106X |
| Licence No | 45826 |
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Definition: An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100250140 | KY | -- | |
| 833108 | KY | ANTHEM - LAH | |
| 149325 | KY | SIHO | |
| 50052189 | KY | PASSPORT |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ethan Wade Blackburn?
The Ethan Wade Blackburn has been issued the NPI (National Provider Identifier) 1538387360 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Ethan Wade Blackburn is physically located?
The Ethan Wade Blackburn is situated at the following address: 315 E Broadway Ste 195, Louisville, KY 402023700.
What is Ethan Wade Blackburn's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ethan Wade Blackburn is Hand Surgery, and the taxonomy code that categorizes this field of expertise is 207Xs0106X.
On what date did the Centers for Medicare & Medicaid Services issue the 1538387360 to Ethan Wade Blackburn?
The Ethan Wade Blackburn received its 1538387360 assignment from the Centers for Medicare & Medicaid Services on 2007-04-24.
When was the information regarding Ethan Wade Blackburn most recently updated?
The details pertaining to the Ethan Wade Blackburn, including its address, specialty, and other relevant information, were last refreshed on 2021-01-12.
NPI Number: 1316940851
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