Blackburn, Brandon

Blackburn, Brandon is an sole proprietor health care provider with primary practice located at 3230 Wisconsin Ave , Joplin MO 64804-4029. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Blackburn, Brandon can be contacted via phone (417) 347-7580.

Contact Information

Primary practice address
3230 Wisconsin Ave Joplin MO 64804-4029
Phone: (417) 347-7580
Fax: (417) 347-0293
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1659772416
LBN Legal business name Blackburn, Brandon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2014
Last updated Sep 11th, 2014 - about 11 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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