Blackwell, Lacey Jai
Blackwell, Lacey Jai is an individual health care provider with primary practice located at 1616 N Gilcrease Museum Rd , Tulsa OK 74127-2101. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Blackwell, Lacey Jai can be contacted via phone (210) 627-4013.Contact Information
Primary practice address
1616 N Gilcrease Museum Rd
Tulsa OK 74127-2101
Phone: (210) 627-4013
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1629452966 |
|---|---|
| LBN Legal business name | Blackwell, Lacey Jai |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2015 |
| Last updated | Jul 16th, 2015 - about 9 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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