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
Fax: (865) 525-2958
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447393889 NPPES
Tennessee Other 12163042 CAQH PIN
Tennessee MEDICAID 1519219 CAQH PIN

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