Blackburn, Steve L

Blackburn, Steve L is an individual health care provider with primary practice located at W180N8085 Town Hall Rd Heart & Vascular Center Clinic, Menomonee Falls WI 53051-3518. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Blackburn, Steve L can be contacted via phone (262) 532-1300.

Contact Information

Primary practice address
W180N8085 Town Hall Rd Heart & Vascular Center Clinic Menomonee Falls WI 53051-3518
Phone: (262) 532-1300
Fax: (262) 532-1340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3230-023 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3230-023 Wisconsin

Profile Details

NPI number 1487084422
LBN Legal business name Blackburn, Steve L
Credentials MHA, MPAS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2013
Last updated Aug 15th, 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 1487084422 NPPES
Wisconsin MEDICAID 1487084422

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