Blackburn, Richard
Blackburn, Richard is an individual health care provider with primary practice located at 1100 N Kentucky Ave , West Plains MO 65775-2029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Blackburn, Richard can be contacted via phone (417) 256-9111.Contact Information
Primary practice address
1100 N Kentucky Ave
West Plains MO 65775-2029
Phone: (417) 256-9111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 2023048760 | Missouri |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 200701598 | North Carolina |
Profile Details
| NPI number | 1801834767 |
|---|---|
| LBN Legal business name | Blackburn, Richard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Apr 5th, 2024 - about 2 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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