Gary P Blackburn is a Lathrup Village, Michigan based male chiropractor who is specialized as General Chiropractor. Active license number of Gary P Blackburn as General Chiropractor is 2301007072 in Michigan. Gary P Blackburn is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Gary P Blackburn speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Gender:
Male
Practice Address:
26751 Southfield Rd, Lathrup Village, Michigan, 48076-4532
Phone:
248-552-0510
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1598858532
NPI Enumeration Date:
02 Oct, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gary P Blackburn are as mentioned below.
License Number
Specialization
State
Status
2301007072
Chiropractor
Michigan
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Gary P Blackburn such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0F33395
Other
Michigan
BCBS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1210 Smith Ave, Royal Oak, Michigan
Zip:
48073-3190
Phone Number:
313-319-3033
Fax Number:
--
Patients can reach Gary P Blackburn at 26751 Southfield Rd, Lathrup Village, Michigan or can call to book an appointment on 248-552-0510. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.