Blackmon, William David

Blackmon, William David is an sole proprietor health care provider with primary practice located at 2830 East St , Anderson CA 96007-3408. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Blackmon, William David can be contacted via phone (530) 365-2545.

Contact Information

Primary practice address
2830 East St Anderson CA 96007-3408
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 21914 California

Profile Details

NPI number 1679839138
LBN Legal business name Blackmon, William David
Credentials RN, FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2012
Last updated Aug 24th, 2013 - about 12 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.

Request for update

Popular Providers