Blackhurst, Zachary

Blackhurst, Zachary is an individual health care provider with primary practice located at 1010 N Kansas St , Wichita KS 67214-3124. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Blackhurst, Zachary can be contacted via phone (316) 293-2647.

Contact Information

Primary practice address
1010 N Kansas St Wichita KS 67214-3124
Phone: (316) 293-2647
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2954 Kansas
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 03046 Kansas

Profile Details

NPI number 1982378527
LBN Legal business name Blackhurst, Zachary
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2021
Last updated Apr 4th, 2022 - about 4 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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