Joseph Blackburn, MD

NPI 1730183138 · on the registry since 2005 · sole proprietor

Practice

Address: 1075 S Court St
Ste 100
Medina, OH 44256
Phone: (330) 722-6337
Fax: (330) 722-0481
Organisation at this address: Lighthouse Family Guidance
South Court Family Physicians Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-01-07

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 Ohio