Blackwell, Eric Scott

Blackwell, Eric Scott is an individual health care provider with primary practice located at 1535 Gull Rd Msb 015, Kalamazoo MI 49048-1650. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Blackwell, Eric Scott can be contacted via phone (269) 226-6933.

Contact Information

Primary practice address
1535 Gull Rd Msb 015 Kalamazoo MI 49048-1650
Phone: (269) 226-6933
Fax: (269) 226-6949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301072041 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301072041 Michigan

Profile Details

NPI number 1114970373
LBN Legal business name Blackwell, Eric Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Dec 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114970373 NPPES
Michigan Other 700G560080 BCBS GROUP-THREE RIVERS HEALTH
Michigan MEDICAID 104275172 BCBS GROUP-THREE RIVERS HEALTH
Michigan Other EB072041 BCBS GROUP-THREE RIVERS HEALTH
Michigan MEDICAID 104277720 BCBS GROUP-THREE RIVERS HEALTH
Michigan MEDICAID 4321103-10 BCBS GROUP-THREE RIVERS HEALTH

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