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Contact Information

COREY S BLACKBURN, DPM
1932 ASPEN CIR STE A
GRAND ISLAND, NE68803-2474
 Phone: 308-646-0077
 Fax: 308-646-0317
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for COREY S BLACKBURN · (Male)

NPI Number 1528350485
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/11/2011
Last updated 12/23/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 341
  • NE Other 1528350485 NPI
Hospital affiliation(s)
  • BRODSTONE MEMORIAL HOSP - (Critical Access)
    P O BOX 187, 520 EAST 10TH ST
    SUPERIOR, NE 68978
  • JENNIE M MELHAM MEMORIAL MEDICAL CENTER - (Critical Access)
    145 MEMORIAL DRIVE
    BROKEN BOW, NE 68822
  • MARY LANNING MEMORIAL HOSPITAL - (Acute Care)
    715 N ST JOSEPH AVE
    HASTINGS, NE 68901
  • ST FRANCIS MEDICAL CENTER - (Acute Care)
    2620 WEST FAIDLEY AVE
    GRAND ISLAND, NE 68803
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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