Blackburn, Maggie

Blackburn, Maggie is an sole proprietor health care provider with primary practice located at 3410 Remington Run , Tallahassee FL 32312-1473. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Blackburn, Maggie can be contacted via phone (850) 644-2373.

Contact Information

Primary practice address
3410 Remington Run Tallahassee FL 32312-1473
Phone: (850) 644-2373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 190386 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME99422 Florida

Profile Details

NPI number 1265595524
LBN Legal business name Blackburn, Maggie
Credentials MAGGIE BLACKBURN MD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2006
Last updated Feb 4th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265595524 NPPES
New York MEDICAID 01498484

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