Blackerby, Timothy

Blackerby, Timothy is an sole proprietor health care provider with primary practice located at 5415 Treat Hwy , Adrian MI 49221. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Blackerby, Timothy can be contacted via phone (517) 263-5813.

Contact Information

Primary practice address
5415 Treat Hwy Adrian MI 49221
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X L651126 Michigan

Profile Details

NPI number 1568554137
LBN Legal business name Blackerby, Timothy
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2006
Last updated Jul 8th, 2007 - about 17 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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