Blackman, Edward
Blackman, Edward is an individual health care provider with primary practice located at 215 W Janss Road , Thousand Oaks CA 91360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Blackman, Edward can be contacted via phone (805) 373-8582.Contact Information
Primary practice address
215 W Janss Road
Thousand Oaks CA 91360
Phone: (805) 373-8582
Fax: (805) 373-6865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | G49755 | California |
Profile Details
| NPI number | 1215903455 |
|---|---|
| LBN Legal business name | Blackman, Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Feb 16th, 2010 - about 14 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 | 1215903455 | NPPES |
| California | MEDICAID | 00G497750 |
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