Blacker, Abby
Blacker, Abby is an sole proprietor health care provider with primary practice located at 1701 Curtis Rd , Champaign IL 61822-9678. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Blacker, Abby can be contacted via phone (217) 365-6202.Contact Information
Primary practice address
1701 Curtis Rd
Champaign IL 61822-9678
Phone: (217) 365-6202
Fax: (217) 326-0188
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | C125605 | Iowa |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 209024207 | Illinois |
Profile Details
NPI number | 1326586249 |
---|---|
LBN Legal business name | Blacker, Abby |
Credentials | CPNP-PC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 11th, 2017 |
Last updated | May 19th, 2022 - 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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