Blackwelder, John Timothy

Blackwelder, John Timothy is an individual health care provider with primary practice located at 1240 Lancer Dr , Walla Walla WA 99362-9275. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Blackwelder, John Timothy can be contacted via phone (509) 529-5541.

Contact Information

Primary practice address
1240 Lancer Dr Walla Walla WA 99362-9275
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00020601 Washington

Profile Details

NPI number 1457305179
LBN Legal business name Blackwelder, John Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
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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