National Provider Identifier Database

JOEL M BLACKBURN, DO – NPI #1801967047
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.


Contact Information

JOEL M BLACKBURN, DO
3916 S PROVIDENCE RD STE 101
COLUMBIA, MO65203-7152
Phone: 573-882-1662
Fax: 573-882-4096
Website:
Specialty Taxonomy Code
* Emergency Medicine 207P00000X

* Indicates primary specialty

NPI Profile & details for JOEL M BLACKBURN

NPI Number 1801967047
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/10/2006
Last updated 08/16/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 2003004595
  • MO Medicaid: 209166909
  • Other: 116134 BLUE CROSS/BLUE SHIELD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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