Blackwell, Joseph
Blackwell, Joseph is an sole proprietor health care provider with primary practice located at 6049 Broadway , Merrillville IN 46410-2619. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Blackwell, Joseph can be contacted via phone (219) 614-8446.Contact Information
Primary practice address
6049 Broadway
Merrillville IN 46410-2619
Phone: (219) 614-8446
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1013387992 |
|---|---|
| LBN Legal business name | Blackwell, Joseph |
| Credentials | M. S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2015 |
| Last updated | Oct 5th, 2015 - about 11 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 | 1013387992 | NPPES |
| Indiana | MEDICAID | 13618911 |
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