Blackmore, Shane Anthony
Blackmore, Shane Anthony is an sole proprietor health care provider with primary practice located at 301 E 17Th St Room 1402, New York NY 10003-3804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Blackmore, Shane Anthony can be contacted via phone (212) 598-6509.Contact Information
Primary practice address
301 E 17Th St Room 1402
New York NY 10003-3804
Phone: (212) 598-6509
Fax: (212) 598-7654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | P89608 | New York |
Profile Details
| NPI number | 1669806055 |
|---|---|
| LBN Legal business name | Blackmore, Shane Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2013 |
| Last updated | Aug 21st, 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.
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