Blackburn, Celia Webb
Blackburn, Celia Webb is an individual health care provider with primary practice located at 1180 Beverly Way , Bountiful UT 84010-2248. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Blackburn, Celia Webb can be contacted via phone (801) 598-0213.Contact Information
Primary practice address
1180 Beverly Way
Bountiful UT 84010-2248
Phone: (801) 598-0213
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3243961205 | Utah |
Profile Details
| NPI number | 1205873478 |
|---|---|
| LBN Legal business name | Blackburn, Celia Webb |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Jul 9th, 2022 - about 2 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 | 1205873478 | NPPES |
| Utah | MEDICAID | 942854057086 |
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