Blackwell, Dewey Wright
Blackwell, Dewey Wright is an individual health care provider with primary practice located at 15790 Paul Vega Md Dr , Hammond LA 70403-1434. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Blackwell, Dewey Wright can be contacted via phone (985) 230-1682.Contact Information
Primary practice address
15790 Paul Vega Md Dr
Hammond LA 70403-1434
Phone: (985) 230-1682
Fax: (985) 230-1617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD.013757 | Louisiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD.013757 | Louisiana |
Profile Details
| NPI number | 1639101850 |
|---|---|
| LBN Legal business name | Blackwell, Dewey Wright |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1639101850 | NPPES |
| Other | 080119145 | RR MEDICARE NUMBER | |
| MEDICAID | 1171573 | RR MEDICARE NUMBER | |
| MEDICAID | 03551399 | RR MEDICARE NUMBER |
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