Blackwood, Karla Aurora

Blackwood, Karla Aurora is an individual health care provider with primary practice located at 1500 E Medical Center Dr B1 Floor University Hospital Recp Emergency, Ann Arbor MI 48109-5020. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Blackwood, Karla Aurora can be contacted via phone (734) 996-4747.

Contact Information

Primary practice address
1500 E Medical Center Dr B1 Floor University Hospital Recp Emergency Ann Arbor MI 48109-5020
Phone: (734) 996-4747
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 4301067633 Michigan
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301067633 Michigan

Profile Details

NPI number 1871586719
LBN Legal business name Blackwood, Karla Aurora
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Sep 30th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871586719 NPPES
Michigan Other 2608116671 BLUE CROSS BLUE SHIELD

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