Blackmon, Johnny

Blackmon, Johnny is an individual health care provider with primary practice located at 1550 S 1000 E , Clearfield UT 84015-1646. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Blackmon, Johnny can be contacted via phone (385) 456-6275.

Contact Information

Primary practice address
1550 S 1000 E Clearfield UT 84015-1646
Phone: (385) 456-6275
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1346002482
LBN Legal business name Blackmon, Johnny
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2024
Last updated Jan 24th, 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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