Smith-Blackwell, Olivia
Smith-Blackwell, Olivia is an sole proprietor health care provider with primary practice located at 601 Division St , North Tonawanda NY 14120-4461. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Smith-Blackwell, Olivia can be contacted via phone (716) 693-0118.Contact Information
Primary practice address
601 Division St
North Tonawanda NY 14120-4461
Phone: (716) 693-0118
Fax: (716) 693-4807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 144179 | New York |
Profile Details
| NPI number | 1023075918 |
|---|---|
| LBN Legal business name | Smith-Blackwell, Olivia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Aug 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023075918 | NPPES |
| New York | MEDICAID | 01754232 |
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