Michael Blackburn

NPI 1992407829 · on the registry since 2023 · sole proprietor

Practice

Address: 8140 Ashton Ave Ste 104
Manassas, VA 20109
Phone: (703) 257-3333
Organisation at this address: Drs. Panner & Wen, Pc
Dominion Eye Care, P.C.
William Redmiles, Lpc, Llc
Katherine Rosemond, Lpc, Llc
Heidi Friedman, Ma, Lpc, Lmft
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 72

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-03-28

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 Virginia