Blackwell, Katherine Ann

Blackwell, Katherine Ann is an individual health care provider with primary practice located at 1209 10Th St , Port Huron MI 48060-5262. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Blackwell, Katherine Ann can be contacted via phone (810) 985-8170.

Contact Information

Primary practice address
1209 10Th St Port Huron MI 48060-5262
Fax:
Website:

Health care specialties

Profile Details

NPI number 1942570973
LBN Legal business name Blackwell, Katherine Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2012
Last updated Dec 19th, 2016 - about 8 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 1942570973 NPPES
Michigan Other 700H231390 BCBS GROUP

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