Blacharsh, Jill June
Blacharsh, Jill June is an sole proprietor health care provider with primary practice located at 224 Montclaire Dr Ne , Albuquerque NM 87108-1124. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Blacharsh, Jill June can be contacted via phone (505) 264-5770.Contact Information
Primary practice address
224 Montclaire Dr Ne
Albuquerque NM 87108-1124
Phone: (505) 264-5770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 86-175 | New Mexico |
Profile Details
| NPI number | 1972574416 |
|---|---|
| LBN Legal business name | Blacharsh, Jill June |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2006 |
| Last updated | May 1st, 2023 - about 3 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 | 1972574416 | NPPES |
| New Mexico | Other | 85031326887301A154 | CHAMPUS |
| New Mexico | Other | 201000856 | CHAMPUS |
| New Mexico | MEDICAID | 9605 | CHAMPUS |
| New Mexico | Other | NM0023965 | CHAMPUS |
| New Mexico | MEDICAID | 826589 | CHAMPUS |
| New Mexico | Other | 10009939 | CHAMPUS |
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