Blackman, Andrew
Blackman, Andrew is an individual health care provider with primary practice located at Great Falls Clinic 3000 15Th Avenue South, Great Falls MT 59405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Blackman, Andrew can be contacted via phone (406) 454-2171.Contact Information
Primary practice address
Great Falls Clinic 3000 15Th Avenue South
Great Falls MT 59405
Phone: (406) 454-2171
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 2008016678 | Missouri |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 2014015767 | Missouri |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 107054 | Minnesota |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 56811 | Minnesota |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 73861 | Montana |
Profile Details
| NPI number | 1295998771 |
|---|---|
| LBN Legal business name | Blackman, Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2008 |
| Last updated | Jul 13th, 2019 - about 6 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 | 1295998771 | NPPES |
| Other | M011013436 | MEDICARE PIN MT |
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