Blackburn, Karen R
Blackburn, Karen R is an sole proprietor health care provider with primary practice located at 909 Cushman St Ste 103 , Fairbanks AK 99701-4668. She recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Agencies / Day Training, Developmentally Disabled Services, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist, Agencies / Case Management, Nursing Service Related Providers / Chore Provider. Agencies / Day Training, Developmentally Disabled Services is her primary health care specialty. Blackburn, Karen R can be contacted via phone (907) 456-4620.Contact Information
Primary practice address
909 Cushman St Ste 103
Fairbanks AK 99701-4668
Phone: (907) 456-4620
Fax: (907) 457-6598
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Other Service Providers / Peer Specialist | 175T00000X | ||
Agencies / Day Training, Developmentally Disabled Services | 251C00000X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist | 225600000X | ||
Agencies / Case Management | 251B00000X | ||
Nursing Service Related Providers / Chore Provider | 372500000X |
Profile Details
NPI number | 1467740779 |
---|---|
LBN Legal business name | Blackburn, Karen R |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 20th, 2011 |
Last updated | Jul 10th, 2024 - about 4 months 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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