Blackburn, David

Blackburn, David is an individual health care provider with primary practice located at 939 Elkridge Landing Rd Ste 350 , Linthicum MD 21090-2909. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Blackburn, David can be contacted via phone (443) 354-8903.

Contact Information

Primary practice address
939 Elkridge Landing Rd Ste 350 Linthicum MD 21090-2909
Phone: (443) 354-8903
Fax: (443) 410-0663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 04114 Maryland

Profile Details

NPI number 1922123702
LBN Legal business name Blackburn, David
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Nov 12th, 2021 - about 4 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 1922123702 NPPES
Maryland MEDICAID 135781600

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