Blackburn, Joseph Bruce
Blackburn, Joseph Bruce is an sole proprietor health care provider with primary practice located at 1075 S Court St Ste 100, Medina OH 44256-3836. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blackburn, Joseph Bruce can be contacted via phone (330) 722-6337.Contact Information
Primary practice address
1075 S Court St Ste 100
Medina OH 44256-3836
Phone: (330) 722-6337
Fax: (330) 722-0481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 350-77002-B | Ohio |
Profile Details
| NPI number | 1730183138 |
|---|---|
| LBN Legal business name | Blackburn, Joseph Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Jan 7th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730183138 | NPPES |
| Ohio | MEDICAID | 2152281 |
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