Dr. Jacalyn Blackwell-White

LBN: Lifebridge Suburban Physician Group Ii Llc
Dr. Jacalyn Blackwell-White is an health care organization with primary practice located at 5400 Old Court Rd Ste 300B , Randallstown MD 21133-5100. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Lifebridge Suburban Physician Group Ii Llc can be contacted via phone (410) 521-7337, or through Wright-Sisk, Mary via phone (443) 422-9941.

Contact Information

Primary practice address
5400 Old Court Rd Ste 300B Randallstown MD 21133-5100
Phone: (410) 521-7337
Fax: (410) 521-7377
Website:
Map and Directions
Authorized official contact:
Name: Wright-Sisk, Mary
Phone: (443) 422-9941

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1194170027
LBN Legal business name Lifebridge Suburban Physician Group Ii Llc
DBA Doing business as Dr. Jacalyn Blackwell-White
Authorized official Wright-Sisk, Mary
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 28th, 2016
Last updated Aug 31st, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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