Blackwell, Ray A

Blackwell, Ray A is an individual health care provider with primary practice located at 4755 Ogletown Stanton Rd Suite 1E50, Newark DE 19718-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Blackwell, Ray A can be contacted via phone (302) 733-1980.

Contact Information

Primary practice address
4755 Ogletown Stanton Rd Suite 1E50 Newark DE 19718-0002
Phone: (302) 733-1980
Fax: (302) 733-1986
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X C10004901 Delaware

Profile Details

NPI number 1033200084
LBN Legal business name Blackwell, Ray A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Aug 24th, 2007 - about 17 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 1033200084 NPPES
Delaware MEDICAID 0000766101

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