Blackburn, Mary Clare

Blackburn, Mary Clare is an individual health care provider with primary practice located at 851 E 5Th St Suite 154, Washington MO 63090-3135. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Blackburn, Mary Clare can be contacted via phone (636) 239-8248.

Contact Information

Primary practice address
851 E 5Th St Suite 154 Washington MO 63090-3135
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 073470 Missouri

Profile Details

NPI number 1003130360
LBN Legal business name Blackburn, Mary Clare
Credentials RN CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2010
Last updated Mar 16th, 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.

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