Blackshear, Charles Philip

Blackshear, Charles Philip is an sole proprietor health care provider with primary practice located at 4949 Stevens Creek Blvd , Santa Clara CA 95051-6661. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is his primary health care specialty. Blackshear, Charles Philip can be contacted via phone (408) 260-2273.

Contact Information

Primary practice address
4949 Stevens Creek Blvd Santa Clara CA 95051-6661
Phone: (408) 260-2273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1114362175
LBN Legal business name Blackshear, Charles Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2013
Last updated Mar 28th, 2019 - about 6 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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