Blackburn, Eileen M.

Blackburn, Eileen M. is an individual health care provider with primary practice located at 14050 Nw 14Th St Suite 190, Sunrise FL 33323-2865. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Blackburn, Eileen M. can be contacted via phone (800) 424-3672.

Contact Information

Primary practice address
14050 Nw 14Th St Suite 190 Sunrise FL 33323-2865
Phone: (800) 424-3672
Fax: (954) 377-3042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 2181 Florida

Profile Details

NPI number 1790738490
LBN Legal business name Blackburn, Eileen M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 2007 - about 17 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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