Blackston, Joseph W

Blackston, Joseph W is an individual health care provider with primary practice located at 1900 Petit Bois St N , Jackson MS 39211-6707. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Legal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Blackston, Joseph W can be contacted via phone (601) 981-4625.

Contact Information

Primary practice address
1900 Petit Bois St N Jackson MS 39211-6707
Phone: (601) 981-4625
Fax: (601) 981-4625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11335 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD 11335 Mississippi
Allopathic & Osteopathic Physicians / Legal Medicine 209800000X MD 11335 Mississippi

Profile Details

NPI number 1194834747
LBN Legal business name Blackston, Joseph W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Sep 11th, 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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