Blackham, Jason Lee
Blackham, Jason Lee is an individual health care provider with primary practice located at 4403 Harrison Blvd Suite 2400, Ogden UT 84403-3271. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Blackham, Jason Lee can be contacted via phone (801) 387-2750.Contact Information
Primary practice address
4403 Harrison Blvd Suite 2400
Ogden UT 84403-3271
Phone: (801) 387-2750
Fax: (801) 387-2755
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207RS0010X | 7216493-1205 | Utah |
Profile Details
NPI number | 1821293242 |
---|---|
LBN Legal business name | Blackham, Jason Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2007 |
Last updated | Sep 22nd, 2011 - about 14 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 | 1821293242 | NPPES |
Utah | Other | P00685134 | MEDICARE RAILROAD |
Popular Providers
-
Leddy, John
160 Farber Hall 3435 Mins Street, Buffalo NY 14214-8001 -
Jimenez, Carlos E
Ashford Presby Hospital Nuclear Medicine Laboratory 1St Floor , Ashford Ave, San Juan PR 00907 -
Nelson, Andrew L.
1594 Route 9 Unit 6, Toms River NJ 08755 -
Larzalere, James Ray
1233 N Main , Mcpherson KS 67460 -
Shafi, Naveed
800 E Cypress Creek Rd Ste 304 , Ft Lauderdale FL 33334-3522 -
Scarpone, Michael
3151 Johnson Rd Ste 2 , Steubenville OH 43952-2362 -
List, Patrick
100 W Dean Keeton Uhs, Austin TX 78712 -
Kline, Michael S
3000 Fairway Dr , Altoona PA 16602-4472