Blackburn, Megan

Blackburn, Megan is an individual health care provider with primary practice located at 525 S Watson Rd Ste 200 , Buckeye AZ 85326. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Blackburn, Megan can be contacted via phone (602) 726-8750.

Contact Information

Primary practice address
525 S Watson Rd Ste 200 Buckeye AZ 85326
Fax: (623) 925-0745
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32492 Arizona

Profile Details

NPI number 1457334450
LBN Legal business name Blackburn, Megan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 24th, 2018 - about 7 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 1457334450 NPPES
Arizona MEDICAID 975526
Arizona Other P00351239

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