Blakeburn, Robert Van

Blakeburn, Robert Van is an individual health care provider with primary practice located at 2085 S Pacheco St , Santa Fe NM 87505-6103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Blakeburn, Robert Van can be contacted via phone (505) 395-3000.

Contact Information

Primary practice address
2085 S Pacheco St Santa Fe NM 87505-6103
Phone: (505) 395-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 17199 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17199 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD2024-0859 New Mexico

Profile Details

NPI number 1164419560
LBN Legal business name Blakeburn, Robert Van
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Feb 2nd, 2026 - about 8 months 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 1164419560 NPPES
Oklahoma MEDICAID 100110960A

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