Blackburn, Corey S.

Blackburn, Corey S. is an individual health care provider with primary practice located at 1932 Aspen Cir Ste A , Grand Island NE 68803-2474. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Blackburn, Corey S. can be contacted via phone (308) 646-0077.

Contact Information

Primary practice address
1932 Aspen Cir Ste A Grand Island NE 68803-2474
Phone: (308) 646-0077
Fax: (308) 646-0317
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 341 Nebraska

Profile Details

NPI number 1528350485
LBN Legal business name Blackburn, Corey S.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2011
Last updated Dec 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528350485 NPPES
Nebraska Other 1528350485 NPI

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