Blackwell, John
Blackwell, John is an individual health care provider with primary practice located at 611 Belmont Ave , Youngstown OH 44502-1037. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Blackwell, John can be contacted via phone (330) 744-2991.Contact Information
Primary practice address
611 Belmont Ave
Youngstown OH 44502-1037
Phone: (330) 744-2991
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APRN.CNP.025081 | Ohio |
Profile Details
| NPI number | 1154870590 |
|---|---|
| LBN Legal business name | Blackwell, John |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2016 |
| Last updated | Jul 24th, 2019 - about 7 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 | 1154870590 | NPPES |
| Ohio | MEDICAID | 2488400 |
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