Blackburn, Stacy L.
Blackburn, Stacy L. is an individual health care provider with primary practice located at 800 Blackhawk Avenue , Prairie Du Chien WI 53821. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Blackburn, Stacy L. can be contacted via phone (608) 326-0808.Contact Information
Primary practice address
800 Blackhawk Avenue
Prairie Du Chien WI 53821
Phone: (608) 326-0808
Fax: (608) 326-0810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 52150 | Wisconsin |
Profile Details
| NPI number | 1952551525 |
|---|---|
| LBN Legal business name | Blackburn, Stacy L. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2008 |
| Last updated | Sep 16th, 2020 - about 5 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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