Blackwell, Staci

Blackwell, Staci is an individual health care provider with primary practice located at 125 Baldwin Ave Ste 100 , Charlotte NC 28204-3370. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Blackwell, Staci can be contacted via phone (704) 316-1900.

Contact Information

Primary practice address
125 Baldwin Ave Ste 100 Charlotte NC 28204-3370
Phone: (704) 316-1900
Fax: (704) 384-5453
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 7282 North Carolina
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 1166 North Carolina

Profile Details

NPI number 1356516033
LBN Legal business name Blackwell, Staci
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2008
Last updated Oct 25th, 2020 - about 4 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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