Kristine A Blackham
Nuclear Medicine Specialist
11100 Euclid Ave
Cleveland
, Ohio 44106-1736
Kristine A Blackham
Nuclear Medicine Specialist
11100 Euclid Ave
Cleveland
, Ohio 44106-1736
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Kristine A Blackham
- 24701 Euclid Ave 3rd Floor
- Euclid, OH
- Zip : 44117-1714
- Phone :
Second Address
- Kristine A Blackham
- 11100 Euclid Ave
- Cleveland, OH
- Zip : 44106-1736
- Fax : (216) 286-6341
- Phone : (216) 844-1700
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine Specialist | 35084181 | OH |
National Provider Identifier
| NPI | 1487695219 |
|---|---|
| Provider Name | Kristine A Blackham |
| First Address | Euclid, OH 44117-1714 |
| Second Address | Cleveland, OH 44106-1736 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/06/2006 |
| Last Update Date | 27/08/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000206509 | UNISON (01) | OH |
| 000000503569 | ANTHEM (01) | OH |
| 0304914 | BCMH (01) | OH |
| 1023171400001 | (05) | PA |
| 1487695219 | MI MEDICAID (01) | MI |
| 2493707 | (05) | OH |
| 363360 | WELLCARE (01) | OH |
| 732926 | BUCKEYE (01) | OH |
| 751556 | AETNA (01) | OH |
| I16488 | (02) | OH |
| P00358779 | RAILROAD MEDICARE (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.