Blackmore, Michael Gene
Blackmore, Michael Gene is an individual health care provider with primary practice located at 1675 Willamette St , Eugene OR 97401. 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. Blackmore, Michael Gene can be contacted via phone (541) 915-5263.Contact Information
Primary practice address
1675 Willamette St
Eugene OR 97401
Phone: (541) 915-5263
Fax: (541) 607-2671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 6637 | Oregon |
Profile Details
| NPI number | 1699731745 |
|---|---|
| LBN Legal business name | Blackmore, Michael Gene |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Dec 4th, 2008 - about 18 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 | 1699731745 | NPPES |
| Oregon | Other | 6637 | LMT |
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