Blackwell, Earlean

Blackwell, Earlean is an sole proprietor health care provider with primary practice located at 1865 Waldrep Cir Se , Marietta GA 30060-4927. She recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Blackwell, Earlean can be contacted via phone (678) 491-0078.

Contact Information

Primary practice address
1865 Waldrep Cir Se Marietta GA 30060-4927
Phone: (678) 491-0078
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X Georgia

Profile Details

NPI number 1023677713
LBN Legal business name Blackwell, Earlean
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2019
Last updated Jun 6th, 2019 - about 5 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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