Blackman, Gregory E
Blackman, Gregory E is an individual health care provider with primary practice located at 271 Carew St Department Of Radiology, Mercy Medical Center, Springfield MA 01104-2377. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Blackman, Gregory E can be contacted via phone (413) 748-9200.Contact Information
Primary practice address
271 Carew St Department Of Radiology, Mercy Medical Center
Springfield MA 01104-2377
Phone: (413) 748-9200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 76232 | Massachusetts |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 76232 | Massachusetts |
Profile Details
| NPI number | 1811941032 |
|---|---|
| LBN Legal business name | Blackman, Gregory E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Jul 8th, 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 | 1811941032 | NPPES |
| Massachusetts | MEDICAID | 0107867 |
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