Blackmon, Reginald

Blackmon, Reginald is an sole proprietor health care provider with primary practice located at 525 North Tryon Street Suite 1636, Charlotte NC 28202. He recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as his primary health care specialty. Blackmon, Reginald can be contacted via phone (704) 620-0555.

Contact Information

Primary practice address
525 North Tryon Street Suite 1636 Charlotte NC 28202
Phone: (704) 620-0555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X

Profile Details

NPI number 1659802072
LBN Legal business name Blackmon, Reginald
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2017
Last updated Mar 27th, 2017 - about 8 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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