Blackmon, Larry E

Blackmon, Larry E is an sole proprietor health care provider with primary practice located at 330 S Oak Knoll Ave #210, Pasadena CA 91101-3419. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Blackmon, Larry E can be contacted via phone (626) 577-1215.

Contact Information

Primary practice address
330 S Oak Knoll Ave #210 Pasadena CA 91101-3419
Phone: (626) 577-1215
Fax: (626) 844-6765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1407973910
LBN Legal business name Blackmon, Larry E
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 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.

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