Blackburn, Brian B
Blackburn, Brian B is an sole proprietor health care provider with primary practice located at 146 Medical Park Rd Ste 106, Mooresville NC 28117-8528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Blackburn, Brian B can be contacted via phone (704) 664-5131.Contact Information
Primary practice address
146 Medical Park Rd Ste 106
Mooresville NC 28117-8528
Phone: (704) 664-5131
Fax: (704) 664-7547
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 29531 | North Carolina |
Profile Details
| NPI number | 1568405520 |
|---|---|
| LBN Legal business name | Blackburn, Brian B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | May 24th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568405520 | NPPES |
| North Carolina | MEDICAID | 7915979 |
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