Blackman, Samuel Charles

Blackman, Samuel Charles is an individual health care provider with primary practice located at 34Th & Civic Center Blvd Children'S Hospital Of Philadelphia, Philadelphia PA 19104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Blackman, Samuel Charles can be contacted via phone (215) 590-1000.

Contact Information

Primary practice address
34Th & Civic Center Blvd Children'S Hospital Of Philadelphia Philadelphia PA 19104
Phone: (215) 590-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD433904 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 220358 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X MD433904 Pennsylvania

Profile Details

NPI number 1790782605
LBN Legal business name Blackman, Samuel Charles
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Oct 3rd, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790782605 NPPES
Pennsylvania Other 20074409 AMERIHEALTH MERCY HEALTH PLAN - GENERAL PEDIATRICS
Pennsylvania Other 30052688 AMERIHEALTH MERCY HEALTH PLAN - GENERAL PEDIATRICS
Pennsylvania MEDICAID 64065881 AMERIHEALTH MERCY HEALTH PLAN - GENERAL PEDIATRICS
Pennsylvania Other 20074413 AMERIHEALTH MERCY HEALTH PLAN - GENERAL PEDIATRICS
Pennsylvania Other 30052689 AMERIHEALTH MERCY HEALTH PLAN - GENERAL PEDIATRICS
Pennsylvania Other 11372260 AMERIHEALTH MERCY HEALTH PLAN - GENERAL PEDIATRICS

Popular Providers