Blackwell, Emma Kavanaugh
Blackwell, Emma Kavanaugh is an sole proprietor health care provider with primary practice located at 45 Dimock St , Roxbury MA 02119-1208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Blackwell, Emma Kavanaugh can be contacted via phone (617) 442-8800.Contact Information
Primary practice address
45 Dimock St
Roxbury MA 02119-1208
Phone: (617) 442-8800
Fax: (617) 541-8334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | RN2361944 | Massachusetts |
Profile Details
| NPI number | 1760261135 |
|---|---|
| LBN Legal business name | Blackwell, Emma Kavanaugh |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2023 |
| Last updated | Sep 26th, 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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