Blackburn, Richard

Blackburn, Richard is an individual health care provider with primary practice located at 1328 2Nd St , Santa Monica CA 90401-1122. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Blackburn, Richard can be contacted via phone (310) 576-1308.

Contact Information

Primary practice address
1328 2Nd St Santa Monica CA 90401-1122
Phone: (310) 576-1308
Fax: (310) 576-1027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1619227162
LBN Legal business name Blackburn, Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2012
Last updated Sep 12th, 2012 - about 13 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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