Blackburn, Tamika
Blackburn, Tamika is an individual health care provider with primary practice located at 1260 Silas Deane Hwy Ste 103 , Wethersfield CT 06109-4363. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Blackburn, Tamika can be contacted via phone (860) 563-9518.Contact Information
Primary practice address
1260 Silas Deane Hwy Ste 103
Wethersfield CT 06109-4363
Phone: (860) 563-9518
Fax: (860) 257-0088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 247841 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 53376 | Connecticut |
Profile Details
| NPI number | 1053593079 |
|---|---|
| LBN Legal business name | Blackburn, Tamika |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2007 |
| Last updated | Oct 14th, 2019 - about 6 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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