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Contact Information

MARY BLACKBURN, C.N.M.
1633 N CAPITOL AVE
SUITE 500
INDIANAPOLIS, IN46202-1261
 Phone: 317-962-5014
 Fax: 317-962-2427
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for MARY BLACKBURN · (Female)

NPI # 1811988355
Status Active
Credentials C.N.M.
Entity Individual
Enumeration date 11/03/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 72000011A
Hospital affiliation(s) Not Available
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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