Blackmon, Harvey T

Blackmon, Harvey T is an individual health care provider with primary practice located at 429 Billingsley Rd , Charlotte NC 28211-1007. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Blackmon, Harvey T can be contacted via phone (704) 336-5626.

Contact Information

Primary practice address
429 Billingsley Rd Charlotte NC 28211-1007
Phone: (704) 336-5626
Fax: (704) 336-5105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 244 North Carolina

Profile Details

NPI number 1124174958
LBN Legal business name Blackmon, Harvey T
Credentials LCAS, CCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124174958 NPPES
North Carolina MEDICAID 6110540

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