Blackwood, Jordan C. A.

Blackwood, Jordan C. A. is an individual health care provider with primary practice located at 6 Hearts Way , Queensbury NY 12804-5925. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Blackwood, Jordan C. A. can be contacted via phone (518) 792-1233.

Contact Information

Primary practice address
6 Hearts Way Queensbury NY 12804-5925
Phone: (518) 792-1233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 256272 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 256272 New York

Profile Details

NPI number 1285950675
LBN Legal business name Blackwood, Jordan C. A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2010
Last updated Feb 21st, 2022 - about 2 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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