Blackwell, Gilbert Chad

Blackwell, Gilbert Chad is an individual health care provider with primary practice located at 1305 Airport Fwy Ste 130 , Bedford TX 76021-6632. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Chiropractic Providers / Chiropractor. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Blackwell, Gilbert Chad can be contacted via phone (817) 857-6565.

Contact Information

Primary practice address
1305 Airport Fwy Ste 130 Bedford TX 76021-6632
Phone: (817) 857-6565
Fax: (817) 283-7686
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP136899 Texas
Chiropractic Providers / Chiropractor 111N00000X DC6524 Texas

Profile Details

NPI number 1750389003
LBN Legal business name Blackwell, Gilbert Chad
Credentials D.C., D.A.B.C.O., NP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Apr 25th, 2018 - about 6 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 1750389003 NPPES
Texas Other AP136899 MEDICAL LICENSE
Texas Other 00R26R MEDICAL LICENSE

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