Blackstock, Drew Steven

Blackstock, Drew Steven is an individual health care provider with primary practice located at 6630 Summer Knoll Cir Ste 101 , Bartlett TN 38134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Blackstock, Drew Steven can be contacted via phone (901) 746-9438.

Contact Information

Primary practice address
6630 Summer Knoll Cir Ste 101 Bartlett TN 38134
Phone: (901) 746-9438
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 51931 Tennessee

Profile Details

NPI number 1841532819
LBN Legal business name Blackstock, Drew Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2013
Last updated Aug 8th, 2022 - about 2 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 1841532819 NPPES
Mississippi MEDICAID 02237563
Mississippi MEDICAID 1841532819
Mississippi MEDICAID Q008983

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