Blackwell, Stan R.
Blackwell, Stan R. is an sole proprietor health care provider with primary practice located at 10612 Los Alamitos Blvd , Los Alamitos CA 90720-2116. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Blackwell, Stan R. can be contacted via phone (562) 493-3569.Contact Information
Primary practice address
10612 Los Alamitos Blvd
Los Alamitos CA 90720-2116
Phone: (562) 493-3569
Fax: (562) 596-8948
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | SL2639 | California |
Profile Details
| NPI number | 1700206901 |
|---|---|
| LBN Legal business name | Blackwell, Stan R. |
| Credentials | A.B.O.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2014 |
| Last updated | Apr 26th, 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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