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
Phone: (409) 296-9505
Fax: (409) 296-2506
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437191301 | NPPES |
Texas | Other | 8Y1046 | BCBS |
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