Blackham, Kristine A

Blackham, Kristine A is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1736. She recently has 15 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / In Vivo & In Vitro Nuclear Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy. Allopathic & Osteopathic Physicians / Neuroradiology is her primary health care specialty. Blackham, Kristine A can be contacted via phone (216) 844-1700.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1736
Fax: (216) 286-6341
Website:

Profile Details

NPI number 1487695219
LBN Legal business name Blackham, Kristine A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Aug 27th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487695219 NPPES
Pennsylvania MEDICAID 1023171400001
Pennsylvania Other 732926
Pennsylvania MEDICAID 2493707
Pennsylvania Other 000000503569
Pennsylvania Other 0304914
Pennsylvania Other 751556
Pennsylvania Other P00358779
Pennsylvania Other 000000206509
Pennsylvania Other 1487695219
Pennsylvania Other 363360

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