Blackman, Mikki G
Blackman, Mikki G is an sole proprietor health care provider with primary practice located at 108 Rutherford St , Summerville SC 29483. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blackman, Mikki G can be contacted via phone (843) 437-5994.Contact Information
Primary practice address
108 Rutherford St
Summerville SC 29483
Phone: (843) 437-5994
Fax: (843) 875-2189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 002387 | South Carolina |
Profile Details
| NPI number | 1629116751 |
|---|---|
| LBN Legal business name | Blackman, Mikki G |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Sep 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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