Blackman, Bruce Elliott
Blackman, Bruce Elliott is an sole proprietor health care provider with primary practice located at 22 W Cole Rd , Biddeford ME 04005-9430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Blackman, Bruce Elliott can be contacted via phone (207) 283-1118.Contact Information
Primary practice address
22 W Cole Rd
Biddeford ME 04005-9430
Phone: (207) 283-1118
Fax: (207) 286-8792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 924 | Maine |
Profile Details
| NPI number | 1023160561 |
|---|---|
| LBN Legal business name | Blackman, Bruce Elliott |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2007 |
| Last updated | May 15th, 2014 - about 10 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 | 1023160561 | NPPES |
| Maine | MEDICAID | 108510000 |
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