Blacksher, James U

Blacksher, James U is an individual health care provider with primary practice located at 267 North Canyon Dr. , Gooding ID 83330-5500. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Blacksher, James U can be contacted via phone (208) 934-4433.

Contact Information

Primary practice address
267 North Canyon Dr. Gooding ID 83330-5500
Phone: (208) 934-4433
Fax: (208) 934-4788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 55397531206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1760420590
LBN Legal business name Blacksher, James U
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Dec 12th, 2011 - about 15 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 1760420590 NPPES
Idaho MEDICAID 002857502

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