Blackwell, Brent

Blackwell, Brent is an sole proprietor health care provider with primary practice located at 2700 10Th Ave S Ste 200, Birmingham AL 35205-1200. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Blackwell, Brent can be contacted via phone (205) 938-7838.

Contact Information

Primary practice address
2700 10Th Ave S Ste 200 Birmingham AL 35205-1200
Phone: (205) 938-7838
Fax: (205) 683-2468
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Alabama

Profile Details

NPI number 1194180331
LBN Legal business name Blackwell, Brent
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2015
Last updated Sep 27th, 2023 - 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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