Blackcloud, Paul

Blackcloud, Paul is an individual health care provider with primary practice located at 40 Celebration Dr , Rochester NY 14620-2664. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Blackcloud, Paul can be contacted via phone (585) 275-7546.

Contact Information

Primary practice address
40 Celebration Dr Rochester NY 14620-2664
Phone: (585) 275-7546
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 309252 New York
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 309252 New York

Profile Details

NPI number 1417319187
LBN Legal business name Blackcloud, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2016
Last updated Jul 7th, 2023 - about last year

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.

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