Blackim, Jamie

Blackim, Jamie is an sole proprietor health care provider with primary practice located at 1901 Louisiana St , Lawrence KS 66046-2938. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Blackim, Jamie can be contacted via phone (918) 638-7807.

Contact Information

Primary practice address
1901 Louisiana St Lawrence KS 66046-2938
Phone: (918) 638-7807
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 24-00996 Kansas

Profile Details

NPI number 1013507490
LBN Legal business name Blackim, Jamie
Credentials ATC, LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2021
Last updated Jan 20th, 2021 - about 4 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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