Blackmon, Griffith
Blackmon, Griffith is an individual health care provider with primary practice located at 2520 Cherry Ave , Bremerton WA 98310-4229. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Blackmon, Griffith can be contacted via phone (360) 744-5804.Contact Information
Primary practice address
2520 Cherry Ave
Bremerton WA 98310-4229
Phone: (360) 744-5804
Fax: (206) 965-4279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD00029049 | Washington |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | MD00029049 | Washington |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | MD00029049 | Washington |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD00029049 | Washington |
Profile Details
| NPI number | 1609836824 |
|---|---|
| LBN Legal business name | Blackmon, Griffith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Dec 1st, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609836824 | NPPES |
| Washington | MEDICAID | 1014390 | |
| Washington | MEDICAID | 1115468 |
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