Blackwell, James L

Blackwell, James L is an individual health care provider with primary practice located at 3016 Great Teays Blvd , Scott Depot WV 25560-9552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blackwell, James L can be contacted via phone (304) 757-6999.

Contact Information

Primary practice address
3016 Great Teays Blvd Scott Depot WV 25560-9552
Phone: (304) 757-6999
Fax: (304) 757-3252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1090 West Virginia

Profile Details

NPI number 1376711945
LBN Legal business name Blackwell, James L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2008
Last updated Sep 10th, 2010 - about 15 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 1376711945 NPPES
West Virginia MEDICAID 0041093000

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