Blackmon, Edward Terrell

Blackmon, Edward Terrell is an sole proprietor health care provider with primary practice located at 304 Newbury St Ste 114, Boston MA 02115-2839. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Blackmon, Edward Terrell can be contacted via phone (617) 372-5907.

Contact Information

Primary practice address
304 Newbury St Ste 114 Boston MA 02115-2839
Phone: (617) 372-5907
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 9471 Massachusetts

Profile Details

NPI number 1336585645
LBN Legal business name Blackmon, Edward Terrell
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2013
Last updated May 14th, 2013 - about 13 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.

Request for update

Popular Providers