Blackstone, Peter E

Blackstone, Peter E is an individual health care provider with primary practice located at 555 Glasgow St , Pottstown PA 19464-6557. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Blackstone, Peter E can be contacted via phone (484) 948-0770.

Contact Information

Primary practice address
555 Glasgow St Pottstown PA 19464-6557
Phone: (484) 948-0770
Fax: (484) 945-0648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS012002 Pennsylvania

Profile Details

NPI number 1053391854
LBN Legal business name Blackstone, Peter E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jul 13th, 2016 - about 9 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 1053391854 NPPES
Pennsylvania MEDICAID 0019515870001

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