Blackman, William A

Blackman, William A is an individual health care provider with primary practice located at 1901 Thomson Dr , Lynchburg VA 24501-1008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Blackman, William A can be contacted via phone (434) 947-3908.

Contact Information

Primary practice address
1901 Thomson Dr Lynchburg VA 24501-1008
Phone: (434) 947-3908
Fax: (434) 947-5948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101036652 Virginia

Profile Details

NPI number 1528067105
LBN Legal business name Blackman, William A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Oct 28th, 2011 - about 14 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 1528067105 NPPES
Virginia MEDICAID 006053637

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