Blackmon, Lee Ann

Blackmon, Lee Ann is an individual health care provider with primary practice located at 1600 7Th Ave S Suite 500, Birmingham AL 35233-1711. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Blackmon, Lee Ann can be contacted via phone (205) 939-9810.

Contact Information

Primary practice address
1600 7Th Ave S Suite 500 Birmingham AL 35233-1711
Phone: (205) 939-9810
Fax: (205) 939-9949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD.21391 Alabama
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD.21391 Alabama

Profile Details

NPI number 1891741567
LBN Legal business name Blackmon, Lee Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Dec 29th, 2015 - about 11 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 1891741567 NPPES
Alabama MEDICAID 115836
Alabama Other 39780
Alabama Other 511-03877
Alabama MEDICAID 051039780
Alabama Other 511-02194
Alabama Other 1891741567
Alabama Other 98345
Alabama MEDICAID 115827
Alabama Other 511-03879
Alabama Other 511-02189

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