Blackstock, Terri

Blackstock, Terri is an sole proprietor health care provider with primary practice located at 124 Sawtooth Oak St , Hot Springs AR 71901-7160. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Blackstock, Terri can be contacted via phone (501) 623-7800.

Contact Information

Primary practice address
124 Sawtooth Oak St Hot Springs AR 71901-7160
Phone: (501) 623-7800
Fax: (501) 623-7866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X N8309 Arkansas

Profile Details

NPI number 1881696433
LBN Legal business name Blackstock, Terri
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2005
Last updated Jan 28th, 2014 - about 11 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 1881696433 NPPES
Arkansas Other 5K269 BCBS
Arkansas MEDICAID 146525002 BCBS

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