Search › Louisiana › 101Y00000X
Peter Blackman
NPI 1609233907 · on the registry since 2016
Practice
- Address
- 1140 Shirley Rd
Bunkie, LA 71322 - Phone
- (318) 346-8001
- Fax
- (318) 346-8005
- Organisation at this address
- Community Support Services Of Louisiana, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 28
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101YM0800X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-01-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana