Blackwell, Blen D

Blackwell, Blen D is an individual health care provider with primary practice located at 3688 Veterans Memorial Dr. Suite 200, Hattiesburg MS 39401. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Blackwell, Blen D can be contacted via phone (601) 554-7400.

Contact Information

Primary practice address
3688 Veterans Memorial Dr. Suite 200 Hattiesburg MS 39401
Phone: (601) 554-7400
Fax: (601) 554-7499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00132 Mississippi

Profile Details

NPI number 1811217409
LBN Legal business name Blackwell, Blen D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2010
Last updated Aug 20th, 2013 - about 12 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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