Blackwell, Susan Corbett
Blackwell, Susan Corbett is an sole proprietor health care provider with primary practice located at 7521 Virginia Oaks Dr Suite 200, Gainesville VA 20155-3831. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Blackwell, Susan Corbett can be contacted via phone (540) 272-6431.Contact Information
Primary practice address
7521 Virginia Oaks Dr Suite 200
Gainesville VA 20155-3831
Phone: (540) 272-6431
Fax: (703) 754-9168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701003055 | Virginia |
Profile Details
| NPI number | 1235153263 |
|---|---|
| LBN Legal business name | Blackwell, Susan Corbett |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Oct 18th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235153263 | NPPES |
| Virginia | Other | 084592 | SENTARA |
| Virginia | MEDICAID | 5411807 | SENTARA |
| Virginia | Other | 116527 | SENTARA |
| Virginia | Other | 289741 | SENTARA |
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