Blackerby, William F.
Blackerby, William F. is an sole proprietor health care provider with primary practice located at 816 E Oldham Ave , Knoxville TN 37917-5567. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Blackerby, William F. can be contacted via phone (865) 523-9163.Contact Information
Primary practice address
816 E Oldham Ave
Knoxville TN 37917-5567
Phone: (865) 523-9163
Fax: (865) 525-2958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0000001231 | Tennessee |
Profile Details
| NPI number | 1447393889 |
|---|---|
| LBN Legal business name | Blackerby, William F. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2007 |
| Last updated | May 17th, 2023 - about 2 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 | 1447393889 | NPPES |
| Tennessee | Other | 12163042 | CAQH PIN |
| Tennessee | MEDICAID | 1519219 | CAQH PIN |
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