Blackwell, Sean

Blackwell, Sean is an individual health care provider with primary practice located at 6410 Fannin, Suite 210 , Houston TX 77030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Blackwell, Sean can be contacted via phone (832) 325-7133.

Contact Information

Primary practice address
6410 Fannin, Suite 210 Houston TX 77030
Fax: (713) 383-1479
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 4301062286 Michigan

Profile Details

NPI number 1265493829
LBN Legal business name Blackwell, Sean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated May 30th, 2014 - about 10 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 1265493829 NPPES
Texas MEDICAID 187185701
Texas Other 8F9681

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