Blackburn, Chad B

Blackburn, Chad B is an individual health care provider with primary practice located at 106 W 27Th St , Scottsbluff NE 69361-4304. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Blackburn, Chad B can be contacted via phone (308) 632-5633.

Contact Information

Primary practice address
106 W 27Th St Scottsbluff NE 69361-4304
Phone: (308) 632-5633
Fax: (308) 632-5939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 189 Wyoming
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 800 Nebraska
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HAD8556 Arizona

Profile Details

NPI number 1427509009
LBN Legal business name Blackburn, Chad B
Credentials HIS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2016
Last updated Oct 19th, 2016 - 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 1427509009 NPPES
Nebraska MEDICAID 237700000X

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