Blackburn, Larry

Blackburn, Larry is an individual health care provider with primary practice located at 1626 W 3Rd Ave , Williamson WV 25661-3007. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Blackburn, Larry can be contacted via phone (304) 235-1701.

Contact Information

Primary practice address
1626 W 3Rd Ave Williamson WV 25661-3007
Phone: (304) 235-1701
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1033712443
LBN Legal business name Blackburn, Larry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2020
Last updated Nov 18th, 2020 - 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.

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