Blackwell, Deborah L
Blackwell, Deborah L is an individual health care provider with primary practice located at 7901 Diley Rd Ste 150 , Canal Winchester OH 43110-9613. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Blackwell, Deborah L can be contacted via phone (614) 355-9050.Contact Information
Primary practice address
7901 Diley Rd Ste 150
Canal Winchester OH 43110-9613
Phone: (614) 355-9050
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 34.003484 | Ohio |
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 34003484 | Ohio |
Profile Details
NPI number | 1720376262 |
---|---|
LBN Legal business name | Blackwell, Deborah L |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2011 |
Last updated | Feb 14th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720376262 | NPPES |
Ohio | MEDICAID | 0052297 |
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