Blackmon, Gloria D

Blackmon, Gloria D is an sole proprietor health care provider with primary practice located at 11891 Wisconsin Street , Detroit MI 48204-1045. She recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as her primary health care specialty. Blackmon, Gloria D can be contacted via phone (248) 508-2611.

Contact Information

Primary practice address
11891 Wisconsin Street Detroit MI 48204-1045
Phone: (248) 508-2611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X

Profile Details

NPI number 1619622354
LBN Legal business name Blackmon, Gloria D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2022
Last updated Feb 21st, 2022 - about 2 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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