Blackburn, Gerald W
Blackburn, Gerald W is an individual health care provider with primary practice located at 28080 Grand River Ave Ste 306 , Farmington Hills MI 48336-5966. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Blackburn, Gerald W can be contacted via phone (947) 521-8314.Contact Information
Primary practice address
28080 Grand River Ave Ste 306
Farmington Hills MI 48336-5966
Phone: (947) 521-8314
Fax: (248) 478-8864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 5101006566 | Michigan |
Profile Details
| NPI number | 1477597326 |
|---|---|
| LBN Legal business name | Blackburn, Gerald W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Nov 17th, 2020 - 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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