National Provider Identifier Database

SARA M BLACKBURN, MD – NPI #1265602478
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

SARA M BLACKBURN, MD
8600 NICOLLET AVE S
BLOOMINGTON, MN55420-2824
Phone: 952-541-2800
Fax: 952-886-7023
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for SARA M BLACKBURN

NPI Number 1265602478
Credentials MD
Entity Individual
Enumeration date 03/04/2008
Last updated 12/23/2014 - About 11 years ago
Sole proprietor1 No
Identifiers
  • MN License #: 56809
  • MO License #: 2006015934
  • GA Medicaid: 0002495187
  • IA Medicaid: 1265602478
  • Other: 175150022 MEDICARE
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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