Blackburn, Alan Ryan

Blackburn, Alan Ryan is an individual health care provider with primary practice located at 1050 Se Monterey Rd Ste 400 , Stuart FL 34994-4512. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Blackburn, Alan Ryan can be contacted via phone (772) 288-2400.

Contact Information

Primary practice address
1050 Se Monterey Rd Ste 400 Stuart FL 34994-4512
Fax: (772) 419-0144
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4772 Georgia
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X ME130977 Florida

Profile Details

NPI number 1588950547
LBN Legal business name Blackburn, Alan Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2011
Last updated Nov 19th, 2018 - 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 1588950547 NPPES
Other JD517Z MEDICARE

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