Blackshear, Robert H

Blackshear, Robert H is an individual health care provider with primary practice located at 449 S Oaks Dr , Springfield MO 65809-1101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Blackshear, Robert H can be contacted via phone (417) 496-6654.

Contact Information

Primary practice address
449 S Oaks Dr Springfield MO 65809-1101
Phone: (417) 496-6654
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 1999141055 Missouri

Profile Details

NPI number 1760477954
LBN Legal business name Blackshear, Robert H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Aug 16th, 2021 - about 5 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 1760477954 NPPES
Missouri Other 194111 BCBS
Missouri MEDICAID 2000100530A BCBS
Missouri MEDICAID XPY202792 BCBS
Missouri Other 20174319965616C002 BCBS
Missouri MEDICAID 204801609 BCBS
Missouri Other 421313 BCBS
Missouri Other P00194816 BCBS
Missouri MEDICAID 158593001 BCBS
Missouri MEDICAID 204801625 BCBS
Missouri Other 9917 BCBS

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