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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154870590 NPPES
Ohio MEDICAID 2488400

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