Payne-Blackman, Shakira L

Payne-Blackman, Shakira L is an individual health care provider with primary practice located at 7305 N Military Trl , Riviera Beach FL 33410-7417. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Payne-Blackman, Shakira L can be contacted via phone (561) 422-6824.

Contact Information

Primary practice address
7305 N Military Trl Riviera Beach FL 33410-7417
Phone: (561) 422-6824
Fax: (561) 422-6827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 25MA07987600 New Jersey

Profile Details

NPI number 1669499323
LBN Legal business name Payne-Blackman, Shakira L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated May 7th, 2014 - about 10 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 1669499323 NPPES
New Jersey MEDICAID 0114316

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