Salamon, Kathleen Blackman
Salamon, Kathleen Blackman is an individual health care provider with primary practice located at 582 East Harding Avenue , Stockton CA 95204-6110. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as her primary health care specialty. Salamon, Kathleen Blackman can be contacted via phone (209) 279-5617.Contact Information
Primary practice address
582 East Harding Avenue
Stockton CA 95204-6110
Phone: (209) 279-5617
Fax: (209) 718-7190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics | 2251G0304X | PT5706 | California |
Profile Details
| NPI number | 1740752591 |
|---|---|
| LBN Legal business name | Salamon, Kathleen Blackman |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2018 |
| Last updated | Dec 18th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740752591 | NPPES |
| California | Other | PT5706 | CALIFORNIA BOARD OF PHYSICAL THERAPY |
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