Blackham, Richard Brennan
Blackham, Richard Brennan is an individual health care provider with primary practice located at 5171 S Cottonwood St Suite, 810, Murray UT 84107-5704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Blackham, Richard Brennan can be contacted via phone (801) 507-9800.Contact Information
Primary practice address
5171 S Cottonwood St Suite, 810
Murray UT 84107-5704
Phone: (801) 507-9800
Fax: (801) 507-9801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 46108 | Arizona |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 8627317-1205 | Utah |
Profile Details
| NPI number | 1043470990 |
|---|---|
| LBN Legal business name | Blackham, Richard Brennan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2008 |
| Last updated | Aug 30th, 2013 - about 12 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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