Blackburn, Gary Robert

Blackburn, Gary Robert is an sole proprietor health care provider with primary practice located at 501 S 9Th St Suite 17, Noblesville IN 46060-2717. He recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is his primary health care specialty. Blackburn, Gary Robert can be contacted via phone (317) 774-0969.

Contact Information

Primary practice address
501 S 9Th St Suite 17 Noblesville IN 46060-2717
Phone: (317) 774-0969
Fax: (317) 774-5741
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1467896258
LBN Legal business name Blackburn, Gary Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2013
Last updated Jul 3rd, 2013 - about 12 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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