Blackett, John William

Blackett, John William is an individual health care provider with primary practice located at 622 W 168Th St Fl 4 , New York NY 10032-3720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Blackett, John William can be contacted via phone (212) 305-6354.

Contact Information

Primary practice address
622 W 168Th St Fl 4 New York NY 10032-3720
Fax: (212) 305-6279
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 287372 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 68865 Minnesota

Profile Details

NPI number 1932594314
LBN Legal business name Blackett, John William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2015
Last updated Jun 15th, 2022 - about 3 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.

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