Blackiston, Heather Mccoy

Blackiston, Heather Mccoy is an individual health care provider with primary practice located at 2316 Pulaski Hwy Ste B , North East MD 21901-3730. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Blackiston, Heather Mccoy can be contacted via phone (410) 642-9110.

Contact Information

Primary practice address
2316 Pulaski Hwy Ste B North East MD 21901-3730
Phone: (410) 642-9110
Fax: (410) 642-9113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 02079 Maryland

Profile Details

NPI number 1619926623
LBN Legal business name Blackiston, Heather Mccoy
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Aug 3rd, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619926623 NPPES
Other 2912304 AETNA INS
Other 61670301 AETNA INS

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