Blackburn, Justin T

Blackburn, Justin T is an sole proprietor health care provider with primary practice located at 12821 Victory Blvd , North Hollywood CA 91606-3012. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Blackburn, Justin T can be contacted via phone (818) 432-5025.

Contact Information

Primary practice address
12821 Victory Blvd North Hollywood CA 91606-3012
Phone: (818) 432-5025
Fax: (818) 760-9092
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1528300035
LBN Legal business name Blackburn, Justin T
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2013
Last updated Mar 22nd, 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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