Blackman, Michael B

Blackman, Michael B is an individual health care provider with primary practice located at 165 Tor Court Hillcrest Family Health, Pittsfield MA 01201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Blackman, Michael B can be contacted via phone (413) 499-2054.

Contact Information

Primary practice address
165 Tor Court Hillcrest Family Health Pittsfield MA 01201
Fax: (413) 445-9517
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 208404 Massachusetts

Profile Details

NPI number 1558329177
LBN Legal business name Blackman, Michael B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 8th, 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 1558329177 NPPES
Massachusetts MEDICAID 0137251

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