Blackham, Dana

Blackham, Dana is an sole proprietor health care provider with primary practice located at 9776 Holman Rd Nw Suite 108, Seattle WA 98117-2000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Blackham, Dana can be contacted via phone (206) 362-9508.

Contact Information

Primary practice address
9776 Holman Rd Nw Suite 108 Seattle WA 98117-2000
Phone: (206) 362-9508
Fax: (206) 362-1502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X MD00019644 Washington
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD00019644 Washington

Profile Details

NPI number 1356487029
LBN Legal business name Blackham, Dana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jul 17th, 2016 - about 8 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 1356487029 NPPES
Washington Other B398 REGENCE BLUE SHIELD
Washington MEDICAID 1940105 REGENCE BLUE SHIELD
Washington Other B398 REGENCE BLUE SHIELD

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