Matthew Blackmon, DC

Practice location

Address

204 Legacy Plz W, La Porte, IN 46350-5285

Phone

(219) 476-7246

Fax

(219) 476-1713

Mailing address

219 E Ireland Rd, South Bend, IN 46614-2653

Registered specialties

Registry record

NPI

1073970521

Entity type

Individual

Sex (as registered)

Male

NPI issued

27 Jan 2016

Record last updated

13 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.