Blackman, Ann E

Blackman, Ann E is an individual health care provider with primary practice located at 608 Old Route 66 , Saint Robert MO 65584-3730. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Blackman, Ann E can be contacted via phone (573) 336-5100.

Contact Information

Primary practice address
608 Old Route 66 Saint Robert MO 65584-3730
Phone: (573) 336-5100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34727 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2010007130 Missouri

Profile Details

NPI number 1588640510
LBN Legal business name Blackman, Ann E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jan 13th, 2021 - about 5 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 1588640510 NPPES
Missouri Other P00837677 RAILROAD MEDICARE
Missouri Other PO00168051 RAILROAD MEDICARE
Missouri MEDICAID 1588640510 RAILROAD MEDICARE
Missouri MEDICAID 1242164 RAILROAD MEDICARE
Missouri Other 135570022 RAILROAD MEDICARE

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