Blackburn, David
Blackburn, David is an individual health care provider with primary practice located at 939 Elkridge Landing Rd Ste 350 , Linthicum MD 21090-2909. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Blackburn, David can be contacted via phone (443) 354-8903.Contact Information
Primary practice address
939 Elkridge Landing Rd Ste 350
Linthicum MD 21090-2909
Phone: (443) 354-8903
Fax: (443) 410-0663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 04114 | Maryland |
Profile Details
| NPI number | 1922123702 |
|---|---|
| LBN Legal business name | Blackburn, David |
| Credentials | LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Nov 12th, 2021 - about 5 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 | 1922123702 | NPPES |
| Maryland | MEDICAID | 135781600 |
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