Blackburn, Shari

Blackburn, Shari is an sole proprietor health care provider with primary practice located at 3399 Oxbow Dr , Fort Gratiot MI 48059-4124. She recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Blackburn, Shari can be contacted via phone (810) 990-8134.

Contact Information

Primary practice address
3399 Oxbow Dr Fort Gratiot MI 48059-4124
Phone: (810) 990-8134
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X AF740302832 Michigan

Profile Details

NPI number 1174850002
LBN Legal business name Blackburn, Shari
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2009
Last updated Nov 13th, 2009 - about 15 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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