Blackwell, Fred
Blackwell, Fred is an sole proprietor health care provider with primary practice located at 2100 Otis Dr , Alameda CA 94501-5786. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Blackwell, Fred can be contacted via phone (510) 748-0940.Contact Information
Primary practice address
2100 Otis Dr
Alameda CA 94501-5786
Phone: (510) 748-0940
Fax: (510) 748-0926
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | G15873 | California |
Profile Details
| NPI number | 1386771186 |
|---|---|
| LBN Legal business name | Blackwell, Fred |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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