Blackburn, Douglas John

Blackburn, Douglas John is an individual health care provider with primary practice located at 12410 E Sinto Ave Ste 205 , Spokane Valley WA 99216-2280. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Blackburn, Douglas John can be contacted via phone (509) 242-3944.

Contact Information

Primary practice address
12410 E Sinto Ave Ste 205 Spokane Valley WA 99216-2280
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X A1 60574310 Washington

Profile Details

NPI number 1649721580
LBN Legal business name Blackburn, Douglas John
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2016
Last updated Oct 15th, 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.

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