Blackston, William
Blackston, William is an sole proprietor health care provider with primary practice located at 7131 Rutherford Rd , Baltimore MD 21244-2702. 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. Blackston, William can be contacted via phone (410) 298-2691.Contact Information
Primary practice address
7131 Rutherford Rd
Baltimore MD 21244-2702
Phone: (410) 298-2691
Fax: (410) 298-0835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 011538 | Maryland |
Profile Details
| NPI number | 1740339324 |
|---|---|
| LBN Legal business name | Blackston, William |
| Credentials | LCADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 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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