Blackman, Harris Marshall

Blackman, Harris Marshall is an individual health care provider with primary practice located at 1111 Medical Center Blvd Suite N-401, Marrero LA 70072-3151. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Blackman, Harris Marshall can be contacted via phone (504) 347-2141.

Contact Information

Primary practice address
1111 Medical Center Blvd Suite N-401 Marrero LA 70072-3151
Phone: (504) 347-2141
Fax: (504) 349-6555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 013299 Louisiana

Profile Details

NPI number 1629041116
LBN Legal business name Blackman, Harris Marshall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jul 9th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629041116 NPPES
Louisiana MEDICAID 1308340

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