Blackwell, Robert J

Blackwell, Robert J is an individual health care provider with primary practice located at 9263 Medical Plaza Dr Suite B, North Charleston SC 29406-7109. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Blackwell, Robert J can be contacted via phone (843) 414-1224.

Contact Information

Primary practice address
9263 Medical Plaza Dr Suite B North Charleston SC 29406-7109
Phone: (843) 414-1224
Fax: (843) 414-1226
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 057150 Georgia
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 29700 South Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 29700 South Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 53281 Tennessee

Profile Details

NPI number 1407887201
LBN Legal business name Blackwell, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jan 13th, 2017 - about 8 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 1407887201 NPPES
South Carolina MEDICAID 297002

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