Eileen M. Blackburn in Bradenton - Medical
Eileen M. Blackburn - NPI 1790738490
Eileen M. Blackburn is a Medical in Bradenton, Florida. Eileen M. Blackburn practices all healthcare services and medical treatments related to Medical. The NPI Number for Eileen M. Blackburn is 1790738490. The last update date is 2007-07-08.
Eileen M. Blackburn's current location address is 206 2nd St E, Bradenton, Florida. You can contact this provider via phone number 9417465111 and fax number 9417457206. The mailing address for Eileen M. Blackburn is 206 2nd St E, Bradenton, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eileen M. Blackburn |
|---|---|
| Address | 206 2nd St E, Bradenton, Florida |
| Phone Number | 9417465111 |
| Fax Number | 9417457206 |
| Sole Proprietor | X |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1790738490 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 206 2nd St E |
|---|---|
| City | Bradenton |
| State | Florida (FL) |
| Post Code | 342081042 |
| Phone Number | 9417465111 |
| Fax Number | 9417457206 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA 2181 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identifier code issued to Eileen M. Blackburn by the Centers for Medicare & Medicaid Services?
The Eileen M. Blackburn has been assigned the NPI (National Provider Identifier) 1790738490 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Eileen M. Blackburn?
The Eileen M. Blackburn is situated at 206 2Nd St E, in the city of Bradenton, state of FL, with the zip code 342081042.
What is the Eileen M. Blackburn's specialty and taxonomy code?
The Eileen M. Blackburn's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1790738490 to Eileen M. Blackburn?
The Eileen M. Blackburn received its 1790738490 assignment from the Centers for Medicare & Medicaid Services on 2006-05-17.
When was the information regarding Eileen M. Blackburn most recently updated?
The details pertaining to the Eileen M. Blackburn, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY