Blackman, Karen Selin
Blackman, Karen Selin is an individual health care provider with primary practice located at 463 E Circle Dr , East Lansing MI 48824-7500. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Blackman, Karen Selin can be contacted via phone (517) 353-8737.Contact Information
Primary practice address
463 E Circle Dr
East Lansing MI 48824-7500
Phone: (517) 353-8737
Fax: (517) 432-9460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301043893 | Michigan |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301043893 | Michigan |
Profile Details
| NPI number | 1255377560 |
|---|---|
| LBN Legal business name | Blackman, Karen Selin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Aug 12th, 2016 - about 9 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 | 1255377560 | NPPES |
| Michigan | MEDICAID | 4783458 | |
| Michigan | MEDICAID | 1255377560 |
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