Blackburn, William E

Blackburn, William E is an individual health care provider with primary practice located at 1760 Nicholasville Rd Suite 301, Lexington KY 40503-1471. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Blackburn, William E can be contacted via phone (859) 277-5766.

Contact Information

Primary practice address
1760 Nicholasville Rd Suite 301 Lexington KY 40503-1471
Fax: (859) 277-3406
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 15471 Kentucky

Profile Details

NPI number 1124025101
LBN Legal business name Blackburn, William E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Mar 11th, 2008 - about 16 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 1124025101 NPPES
Kentucky MEDICAID 64154719

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