Blackburn, Benjamin W

Blackburn, Benjamin W is an individual health care provider with primary practice located at 8849 S Redwood Rd Ste E-121, West Jordan UT 84088-5619. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Blackburn, Benjamin W can be contacted via phone (801) 569-1999.

Contact Information

Primary practice address
8849 S Redwood Rd Ste E-121 West Jordan UT 84088-5619
Phone: (801) 569-1999
Fax: (801) 569-2001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3458 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8983610-1206 Utah

Profile Details

NPI number 1649380049
LBN Legal business name Blackburn, Benjamin W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 14th, 2015 - about 9 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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