Blackstone, Craig David

Blackstone, Craig David is an sole proprietor health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2696. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Blackstone, Craig David can be contacted via phone (301) 219-8305.

Contact Information

Primary practice address
55 Fruit St Boston MA 02114-2696
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 153603 Massachusetts

Profile Details

NPI number 1215008693
LBN Legal business name Blackstone, Craig David
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2006
Last updated Oct 28th, 2020 - about 4 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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