Blackburn, Michael Howard

Blackburn, Michael Howard is an individual health care provider with primary practice located at 210 Sports Dr , Big Rapids MI 49307-2741. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Blackburn, Michael Howard can be contacted via phone (231) 591-2872.

Contact Information

Primary practice address
210 Sports Dr Big Rapids MI 49307-2741
Phone: (231) 591-2872
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Michigan

Profile Details

NPI number 1205057296
LBN Legal business name Blackburn, Michael Howard
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Popular Providers