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Gary Robert Blackburn
Prosthetic/Orthotic Supplier in Noblesville, Indiana
NPI 1467896258

Gary Robert Blackburn is a Prosthetic/Orthotic Supplier based in Fishers, IN. Gary Robert Blackburn practices in Noblesville, IN. The NPI Number for Gary Robert Blackburn is 1467896258 and holds a License No. (Indiana).

The current practice location address for Gary Robert Blackburn is 501 S 9Th St, Noblesville, IN and can be reached out via phone at 317-774-0969 and via fax at 317-774-5741.

Location: 501 S 9Th St, Noblesville, IN, 46038-5587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467896258
Provider Name
Gary Robert Blackburn
Credential
Provider Entity Type
Individual
Gender
Male
Address
501 S 9Th St, Noblesville, IN, 46038-5587
Phone Number
317-774-0969
Fax Number
317-774-5741
Provider Enumeration Date
04/23/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
501 S 9Th St
City
Noblesville
State
Indiana
Zip
46060-2717
Phone Number
317-774-0969
Fax Number
317-774-5741
person
Provider Business Mailing Address Details
Address
501 S 9Th St
City
Noblesville
State
Indiana
Zip
46060-2717
Phone Number
317-774-0969
Fax Number
317-774-5741
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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