Brian Benjamin Blackmon in Woodstock - Psychiatry
Brian Benjamin Blackmon - NPI 1033235882
Brian Benjamin Blackmon is a Psychiatry in Woodstock, Illinois. Brian Benjamin Blackmon practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Brian Benjamin Blackmon is 1033235882. The last update date is 2018-12-19.
Brian Benjamin Blackmon's current location address is 3701 Doty Rd, Woodstock, Illinois. You can contact this provider via phone number 8153386600 and fax number 8152065376. The mailing address for Brian Benjamin Blackmon is 3701 Doty Rd, Woodstock, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Benjamin Blackmon |
|---|---|
| Address | 3701 Doty Rd, Woodstock, Illinois |
| Phone Number | 8153386600 |
| Fax Number | 8152065376 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1033235882 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2018-12-19 |
Provider Mailing Address Detail
| Address | 3701 Doty Rd |
|---|---|
| City | Woodstock |
| State | Illinois (IL) |
| Post Code | 600987509 |
| Phone Number | 8153386600 |
| Fax Number | 8152065376 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 36142922 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36142922 | IL | STATE LICENSE |
Post Comment/ Review Below
What is the Brian Benjamin Blackmon's 1033235882?
The Brian Benjamin Blackmon's NPI (National Provider Identifier) Number is 1033235882. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Brian Benjamin Blackmon's physical address?
The Brian Benjamin Blackmon is physically located at 3701 Doty Rd, in the city of Woodstock, IL, with the postal code 600987509.
What is Brian Benjamin Blackmon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brian Benjamin Blackmon is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.
On what date did the Brian Benjamin Blackmon receive the assignment of its 1033235882 from the Centers for Medicare & Medicaid Services?
The Brian Benjamin Blackmon was issued its 1033235882 by the Centers for Medicare & Medicaid Services on 2007-03-22.
As of what date was the information regarding Brian Benjamin Blackmon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brian Benjamin Blackmon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-12-19.