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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871586719 | NPPES |
| Michigan | Other | 2608116671 | BLUE CROSS BLUE SHIELD |
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