Blackwell, Rebecca Louise

Blackwell, Rebecca Louise is an individual health care provider with primary practice located at 538 Broadway , Winnie TX 77665-7600. 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, Rebecca Louise can be contacted via phone (409) 296-9505.

Contact Information

Primary practice address
538 Broadway Winnie TX 77665-7600
Fax: (409) 296-2506
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA01136 Texas

Profile Details

NPI number 1437191301
LBN Legal business name Blackwell, Rebecca Louise
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Feb 23rd, 2009 - about 16 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 1437191301 NPPES
Texas Other 8Y1046 BCBS

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