Individual
CHAD B BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
106 W 27TH ST, SCOTTSBLUFF, NE 69361-4304
(308) 632-5633
(308) 632-5939
Mailing address
PO BOX 238, SCOTTSBLUFF, NE 69363-0238
(308) 632-5633
(308) 632-5939
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
189
WY
237700000X
Hearing Instrument Specialist
Primary
800
NE
237700000X
Hearing Instrument Specialist
HAD8556
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237700000X
—
NE
Enumeration date
10/19/2016
Last updated
10/19/2016
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