Blackwell, Shantae
Blackwell, Shantae is an individual health care provider with primary practice located at 1422 Kearsley Rd , Sicklerville NJ 08081-5205. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Blackwell, Shantae can be contacted via phone (856) 308-5891.Contact Information
Primary practice address
1422 Kearsley Rd
Sicklerville NJ 08081-5205
Phone: (856) 308-5891
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1265824502 |
|---|---|
| LBN Legal business name | Blackwell, Shantae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2015 |
| Last updated | Feb 24th, 2015 - about 9 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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