Blackwell, Michaela
Blackwell, Michaela is an sole proprietor health care provider with primary practice located at 24 Airport Rd , West Lebanon NH 03784-1663. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Blackwell, Michaela can be contacted via phone (603) 298-6617.Contact Information
Primary practice address
24 Airport Rd
West Lebanon NH 03784-1663
Phone: (603) 298-6617
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1407553019 | Arizona |
Profile Details
| NPI number | 1407553019 |
|---|---|
| LBN Legal business name | Blackwell, Michaela |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2023 |
| Last updated | Oct 18th, 2023 - about 2 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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