Blackall, George F
Blackall, George F is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Blackall, George F can be contacted via phone (800) 233-4082.Contact Information
Primary practice address
500 University Dr
Hershey PA 17033-2360
Phone: (800) 233-4082
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS008409L | Pennsylvania |
Profile Details
| NPI number | 1386697134 |
|---|---|
| LBN Legal business name | Blackall, George F |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Sep 18th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386697134 | NPPES |
| Pennsylvania | MEDICAID | 0016243310002 |
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