Blackmon, Darnell E.

Blackmon, Darnell E. is an individual health care provider with primary practice located at 8660 E 103Rd St , Tulsa OK 74133-6982. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Blackmon, Darnell E. can be contacted via phone (918) 830-0059.

Contact Information

Primary practice address
8660 E 103Rd St Tulsa OK 74133-6982
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X BB7225988 Oklahoma
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 22856 Oklahoma

Profile Details

NPI number 1831150655
LBN Legal business name Blackmon, Darnell E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Mar 18th, 2024 - about 8 months 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 1831150655 NPPES
Oklahoma MEDICAID 100218010A

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