Blackburn, Warren D

Blackburn, Warren D is an individual health care provider with primary practice located at 408 Clark St Ne , Cullman AL 35055-1953. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Blackburn, Warren D can be contacted via phone (256) 734-3202.

Contact Information

Primary practice address
408 Clark St Ne Cullman AL 35055-1953
Phone: (256) 734-3202
Fax: (256) 734-4668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 10239 Alabama

Profile Details

NPI number 1821079658
LBN Legal business name Blackburn, Warren D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jan 24th, 2014 - about 11 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 1821079658 NPPES
Alabama Other 51007164 BCBS OF AL
Alabama MEDICAID 009982800 BCBS OF AL
Alabama Other E873 BCBS OF AL

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