Blackburne, Andrew T
Blackburne, Andrew T is an individual health care provider with primary practice located at 450 N New Ballas Rd Ste 150N , Saint Louis MO 63141-6835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Blackburne, Andrew T can be contacted via phone (314) 315-9914.Contact Information
Primary practice address
450 N New Ballas Rd Ste 150N
Saint Louis MO 63141-6835
Phone: (314) 315-9914
Fax: (314) 315-9970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 036156280 | Illinois |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 2017014167 | Missouri |
Profile Details
| NPI number | 1437412582 |
|---|---|
| LBN Legal business name | Blackburne, Andrew T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2012 |
| Last updated | Dec 1st, 2021 - about 3 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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