Blackmore, Christopher Craig

Blackmore, Christopher Craig is an individual health care provider with primary practice located at 1100 9Th Ave M4Pfs, Seattle WA 98101-2756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Blackmore, Christopher Craig can be contacted via phone (206) 515-5811.

Contact Information

Primary practice address
1100 9Th Ave M4Pfs Seattle WA 98101-2756
Phone: (206) 515-5811
Fax: (206) 515-5886
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00032535 Washington

Profile Details

NPI number 1174609978
LBN Legal business name Blackmore, Christopher Craig
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 23rd, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174609978 NPPES
Washington Other 0039587 LABOR AND INDUSTRIES # VM
Washington MEDICAID 8193864 LABOR AND INDUSTRIES # VM
Washington Other P00444038 LABOR AND INDUSTRIES # VM
Washington Other 5285BL LABOR AND INDUSTRIES # VM

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