Blackmer, Dana Robert
Blackmer, Dana Robert is an sole proprietor health care provider with primary practice located at 9601 Gayton Rd Suite 206, Richmond VA 23238-4963. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Blackmer, Dana Robert can be contacted via phone (804) 741-4500.Contact Information
Primary practice address
9601 Gayton Rd Suite 206
Richmond VA 23238-4963
Phone: (804) 741-4500
Fax: (804) 741-9188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810001591 | Virginia |
Profile Details
| NPI number | 1174672448 |
|---|---|
| LBN Legal business name | Blackmer, Dana Robert |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174672448 | NPPES |
| Virginia | Other | 03818400 | MAGELLAN |
| Virginia | Other | 056527 | MAGELLAN |
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