Blackburn, Sharon L

Blackburn, Sharon L is an individual health care provider with primary practice located at 8872 Professional Dr , Cadillac MI 49601-8481. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Blackburn, Sharon L can be contacted via phone (231) 775-9398.

Contact Information

Primary practice address
8872 Professional Dr Cadillac MI 49601-8481
Fax: (231) 775-9398
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 00746586 Michigan

Profile Details

NPI number 1730154816
LBN Legal business name Blackburn, Sharon L
Credentials DR. AUDIOLOGY
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Oct 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730154816 NPPES
Michigan MEDICAID 4674103

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