Blackston, Robert
Blackston, Robert is an individual health care provider with primary practice located at 2003 Kootenai Health Way , Coeur D Alene ID 83814-6051. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Blackston, Robert can be contacted via phone (208) 625-4000.Contact Information
Primary practice address
2003 Kootenai Health Way
Coeur D Alene ID 83814-6051
Phone: (208) 625-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X | 143020 | Idaho |
Profile Details
| NPI number | 1770641193 |
|---|---|
| LBN Legal business name | Blackston, Robert |
| Credentials | CST, CSFA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Apr 26th, 2018 - about 8 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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