Blackstone, Jacquelyn A
Blackstone, Jacquelyn A is an individual health care provider with primary practice located at 2211 Lomas Blvd Ne , Albuquerque NM 87106-2719. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Blackstone, Jacquelyn A can be contacted via phone (505) 272-3120.Contact Information
Primary practice address
2211 Lomas Blvd Ne
Albuquerque NM 87106-2719
Phone: (505) 272-3120
Fax: (505) 272-8060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | A-1954-16 | New Mexico |
Profile Details
| NPI number | 1023168358 |
|---|---|
| LBN Legal business name | Blackstone, Jacquelyn A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Nov 29th, 2023 - about 3 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 | 1023168358 | NPPES |
| Maine | MEDICAID | 289980099 | |
| Maine | MEDICAID | 30005994 |
Popular Providers
-
Izquierdo, Luis A
933 Bradbury Dr Se Suite 2222, Albuquerque NM 87106-4374 -
Leslie, Kimberly Kay
1 University Of New Mexico Health Sciences Center 2500 Marble Ave Ne, Albuquerque NM 83106 -
Hurley, Timothy J
3741 Rutledge Rd Ne , Albuquerque NM 87106 -
Difederico, Elaine Marie
Msc10 5580 1 Unm Unm Hsc Obgyn, Albuquerque NM 87131 -
Hedstrom, Stephanie A.
Unm Locum Tenens 933 Bradbury Dr. Se Suite 2222, Albuquerque NM 87106 -
Joffe, Gary Michael
201 Cedar St Se , Albuquerque NM 87106-4924 -
Reuss, Mary Lynne
4600 Montgomery Blvd Ne # A Suite 101, Albuquerque NM 87109-1210 -
Wager, Gael Patricia
2211 Lomas Blds. Ne 4Th Floor Ambulatory Care Ctr, Albuquerque NM 87106