Blackley, Mark William
Blackley, Mark William is an individual health care provider with primary practice located at Physical Therapy Clinic Usa Meddac, Evans Army Community Hospital, Fort Carson CO 80913-4604. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Electrophysiology, Clinical, which is considered as his primary health care specialty. Blackley, Mark William can be contacted via phone (719) 526-7120.Contact Information
Primary practice address
Physical Therapy Clinic Usa Meddac, Evans Army Community Hospital
Fort Carson CO 80913-4604
Phone: (719) 526-7120
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Electrophysiology, Clinical | 2251E1300X | 2788 | Colorado |
Profile Details
| NPI number | 1215988605 |
|---|---|
| LBN Legal business name | Blackley, Mark William |
| Credentials | PHYSICAL THERAPIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Mar 31st, 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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