Benjamin W Blackburn in West Jordan - Physician Assistant
Benjamin W Blackburn - NPI 1649380049
Benjamin W Blackburn is a Physician Assistant in West Jordan, Utah. Benjamin W Blackburn practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Benjamin W Blackburn is 1649380049. The last update date is 2015-10-14.
Benjamin W Blackburn's current location address is 8849 S Redwood Rd, West Jordan, Utah. You can contact this provider via phone number 8015691999 and fax number 8015692001. The mailing address for Benjamin W Blackburn is 8849 S Redwood Rd, West Jordan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benjamin W Blackburn |
|---|---|
| Address | 8849 S Redwood Rd, West Jordan, Utah |
| Phone Number | 8015691999 |
| Fax Number | 8015692001 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1649380049 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2015-10-14 |
Provider Mailing Address Detail
| Address | 8849 S Redwood Rd |
|---|---|
| City | West Jordan |
| State | Utah (UT) |
| Post Code | 840885619 |
| Phone Number | 8015691999 |
| Fax Number | 8015692001 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3458 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Benjamin W Blackburn?
The Benjamin W Blackburn has been issued the NPI (National Provider Identifier) 1649380049 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Benjamin W Blackburn's facilities are situated?
The facilities of Benjamin W Blackburn are physically located at the following address: 8849 S Redwood Rd, West Jordan, UT, 840885619.
What is Benjamin W Blackburn's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Benjamin W Blackburn's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When did Benjamin W Blackburn receive its 1649380049 assignment?
The Benjamin W Blackburn was assigned its 1649380049 on 2006-08-30, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Benjamin W Blackburn last refreshed?
The information related to the Benjamin W Blackburn, including its address, specialty, and other relevant details, was last updated on 2015-10-14.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN