Blackwell, Charles Robert

Blackwell, Charles Robert is an sole proprietor health care provider with primary practice located at 200 Se Hospital Ave , Stuart FL 34994-2346. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Blackwell, Charles Robert can be contacted via phone (772) 287-5299.

Contact Information

Primary practice address
200 Se Hospital Ave Stuart FL 34994-2346
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X OS017238 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125074845 Illinois

Profile Details

NPI number 1508203225
LBN Legal business name Blackwell, Charles Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2013
Last updated Jun 8th, 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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