Blackwell, Clarisa Renee

Blackwell, Clarisa Renee is an individual health care provider with primary practice located at 2223 Nash St Nw , Wilson NC 27896-1735. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Blackwell, Clarisa Renee can be contacted via phone (919) 827-7461.

Contact Information

Primary practice address
2223 Nash St Nw Wilson NC 27896-1735
Phone: (919) 827-7461
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 12977 North Carolina

Profile Details

NPI number 1922596378
LBN Legal business name Blackwell, Clarisa Renee
Credentials LMBT, MMP
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2018
Last updated May 1st, 2018 - about 8 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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