Blackman, Nyree
Blackman, Nyree is an sole proprietor health care provider with primary practice located at 2694 Highway 20 Ne , Conyers GA 30012-2217. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Blackman, Nyree can be contacted via phone (757) 803-0081.Contact Information
Primary practice address
2694 Highway 20 Ne
Conyers GA 30012-2217
Phone: (757) 803-0081
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | Georgia |
Profile Details
| NPI number | 1235881376 |
|---|---|
| LBN Legal business name | Blackman, Nyree |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2022 |
| Last updated | Jan 20th, 2022 - about 4 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 | 1235881376 | NPPES |
| Georgia | MEDICAID | 7578030081 | |
| Georgia | MEDICAID | 05 |
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