Blackburn, Peter
Blackburn, Peter is an individual health care provider with primary practice located at 110 Conn Ter Ste 550 , Lexington KY 40508-3206. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Uveitis and Ocular Inflammatory Disease, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Blackburn, Peter can be contacted via phone (859) 323-5867.Contact Information
Primary practice address
110 Conn Ter Ste 550
Lexington KY 40508-3206
Phone: (859) 323-5867
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 36686 | Kentucky |
| Allopathic & Osteopathic Physicians / Uveitis and Ocular Inflammatory Disease | 207WX0108X | 36686 | Kentucky |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 36686 | Kentucky |
Profile Details
| NPI number | 1336196815 |
|---|---|
| LBN Legal business name | Blackburn, Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336196815 | NPPES |
| Kentucky | MEDICAID | 64030489 |
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