Blackburn, Mary
Blackburn, Mary is an individual health care provider with primary practice located at 1633 N Capitol Ave Suite 500, Indianapolis IN 46202-1261. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Blackburn, Mary can be contacted via phone (317) 962-5014.Contact Information
Primary practice address
1633 N Capitol Ave Suite 500
Indianapolis IN 46202-1261
Phone: (317) 962-5014
Fax: (317) 962-2427
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 72000011A | Indiana |
Profile Details
NPI number | 1811988355 |
---|---|
LBN Legal business name | Blackburn, Mary |
Credentials | Certified Nurse Midwife (CNM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 3rd, 2005 |
Last updated | Jul 8th, 2007 - about 17 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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