Blacker, Jonathan Edward
Blacker, Jonathan Edward is an sole proprietor health care provider with primary practice located at 8000 E Prentice Ave Suite D-12, Greenwood Village CO 80111-2744. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Blacker, Jonathan Edward can be contacted via phone (303) 795-3443.Contact Information
Primary practice address
8000 E Prentice Ave Suite D-12
Greenwood Village CO 80111-2744
Phone: (303) 795-3443
Fax: (303) 290-6317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 27023 | Colorado |
Profile Details
| NPI number | 1477697274 |
|---|---|
| LBN Legal business name | Blacker, Jonathan Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Jan 13th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477697274 | NPPES |
| Other | 1063746972 | GROUP NPI | |
| MEDICAID | 01270230 | GROUP NPI | |
| MEDICAID | 44176279 | GROUP NPI |
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