Blackledge, Fred
Blackledge, Fred is an individual health care provider with primary practice located at 764 Lakeland Dr , Jackson MS 39216-4617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Blackledge, Fred can be contacted via phone (601) 981-3033.Contact Information
Primary practice address
764 Lakeland Dr
Jackson MS 39216-4617
Phone: (601) 981-3033
Fax: (601) 982-8132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 16006 | Mississippi |
Profile Details
| NPI number | 1003890179 |
|---|---|
| LBN Legal business name | Blackledge, Fred |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Popular Providers
-
Hoppe, Ian Craig
2500 N State St , Jackson MS 39216-4500 -
Johnson, Kathleen Nicole
2500 N State St , Jackson MS 39216-4500 -
Humphries, Laura Sestokas
2500 N State St , Jackson MS 39216-4500 -
Yonko, Marie
2500 N State St Div. Of Plastic Surgery, Jackson MS 39216-4500 -
Walker, Marc Edward
2500 N State St , Jackson MS 39216-4500 -
Grogan, Graham
2500 N State St , Jackson MS 39216-4500 -
Friel, Michael Thomas
2500 N State St Division Of Plastic Surgery, Jackson MS 39216-4500 -
Brown, Madyson
2500 N State St , Jackson MS 39216-4500