Blackley, William J
Blackley, William J is an individual health care provider with primary practice located at 619 Sullivan Rd , Statesville NC 28677-3437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blackley, William J can be contacted via phone (704) 924-9111.Contact Information
Primary practice address
619 Sullivan Rd
Statesville NC 28677-3437
Phone: (704) 924-9111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20527 | North Carolina |
Profile Details
| NPI number | 1649262312 |
|---|---|
| LBN Legal business name | Blackley, William J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Jan 24th, 2008 - about 17 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 | 1649262312 | NPPES |
| North Carolina | MEDICAID | 8915987 |
Popular Providers
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