Blackburn, Staci Christine
Blackburn, Staci Christine is an individual health care provider with primary practice located at 1500 East Medical Center Dr 3Rd Floor Taubman Ctr Recp 'B', Ann Arbor MI 48109-5352. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Blackburn, Staci Christine can be contacted via phone (734) 936-5582.Contact Information
Primary practice address
1500 East Medical Center Dr 3Rd Floor Taubman Ctr Recp 'B'
Ann Arbor MI 48109-5352
Phone: (734) 936-5582
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 4301084180 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301084180 | Michigan |
Profile Details
| NPI number | 1215148077 |
|---|---|
| LBN Legal business name | Blackburn, Staci Christine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2007 |
| Last updated | Dec 5th, 2018 - about 7 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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