Blackwood, Michelle Elaine
Blackwood, Michelle Elaine is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Neonatal Intensive Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Blackwood, Michelle Elaine can be contacted via phone (717) 531-6807.Contact Information
Primary practice address
500 University Dr
Hershey PA 17033-2360
Phone: (717) 531-6807
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Neonatal Intensive Care | 163WN0002X | 028145 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | SP028660 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 11733 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 225161 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 028145 | Illinois |
Profile Details
| NPI number | 1417971912 |
|---|---|
| LBN Legal business name | Blackwood, Michelle Elaine |
| Credentials | NNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Mar 5th, 2024 - about 9 months 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 | 1417971912 | NPPES |
| Tennessee | Other | 620476822 | VMG TAX ID |
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