Blackwell, Clydie
Blackwell, Clydie is an sole proprietor health care provider with primary practice located at 505 S 8Th St , East Saint Louis IL 62201-2919. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Blackwell, Clydie can be contacted via phone (618) 474-7330.Contact Information
Primary practice address
505 S 8Th St
East Saint Louis IL 62201-2919
Phone: (618) 474-7330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | 041165940 | Illinois |
Profile Details
| NPI number | 1063289635 |
|---|---|
| LBN Legal business name | Blackwell, Clydie |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2023 |
| Last updated | Dec 5th, 2023 - about last year |
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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