Blackwelder, Rebecca
Blackwelder, Rebecca is an individual health care provider with primary practice located at 1345 W Bay Dr Suite 101, Largo FL 33770-2282. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Blackwelder, Rebecca can be contacted via phone (727) 581-3550.Contact Information
Primary practice address
1345 W Bay Dr Suite 101
Largo FL 33770-2282
Phone: (727) 581-3550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9101004 | Florida |
Profile Details
| NPI number | 1508944646 |
|---|---|
| LBN Legal business name | Blackwelder, Rebecca |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | May 15th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508944646 | NPPES |
| Florida | MEDICAID | 004858400 |
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