Blackard, Douglas Oliver

Blackard, Douglas Oliver is an sole proprietor health care provider with primary practice located at 3618 Garrettsville Dr , Pearland TX 77584-4984. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Blackard, Douglas Oliver can be contacted via phone (281) 412-2769.

Contact Information

Primary practice address
3618 Garrettsville Dr Pearland TX 77584-4984
Phone: (281) 412-2769
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Texas

Profile Details

NPI number 1184754475
LBN Legal business name Blackard, Douglas Oliver
Credentials MS, MHA, LAT, CMPE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Dec 15th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184754475 NPPES
Other 129039099 NATA CERTIFICATION

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