Blackwell, Adam E.
Blackwell, Adam E. is an individual health care provider with primary practice located at 115 Sweetwater Blvd , Port Washington WI 53074-2657. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blackwell, Adam E. can be contacted via phone (920) 476-6400.Contact Information
Primary practice address
115 Sweetwater Blvd
Port Washington WI 53074-2657
Phone: (920) 476-6400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 59957 | Wisconsin |
Profile Details
| NPI number | 1184913055 |
|---|---|
| LBN Legal business name | Blackwell, Adam E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2011 |
| Last updated | Sep 9th, 2022 - about 2 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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