Blackman, Gregory Andrew

Blackman, Gregory Andrew is an individual health care provider with primary practice located at 250 Green St , Gardner MA 01440-1396. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Blackman, Gregory Andrew can be contacted via phone (978) 632-0800.

Contact Information

Primary practice address
250 Green St Gardner MA 01440-1396
Phone: (978) 632-0800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2000020732
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1174263

Profile Details

NPI number 1356897581
LBN Legal business name Blackman, Gregory Andrew
Credentials PAC, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2016
Last updated Jun 20th, 2024 - about 2 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 1356897581 NPPES
Other 1174263 NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
Other 2000020732 NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS

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