Blackman, Darrin
Blackman, Darrin is an individual health care provider with primary practice located at 500 Indiana Ave , Winslow AZ 86047-2169. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Blackman, Darrin can be contacted via phone (928) 289-4646.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 53174 | New York |
Profile Details
| NPI number | 1740313055 |
|---|---|
| LBN Legal business name | Blackman, Darrin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1740313055 | NPPES |
| Arizona | MEDICAID | 134822 |
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