Blackwell, Sandra L
Blackwell, Sandra L is an individual health care provider with primary practice located at 100 Michigan St Ne , Grand Rapids MI 49503-2560. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Blackwell, Sandra L can be contacted via phone (616) 391-2867.Contact Information
Primary practice address
100 Michigan St Ne
Grand Rapids MI 49503-2560
Phone: (616) 391-2867
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 197637 | Michigan |
Profile Details
| NPI number | 1437205127 |
|---|---|
| LBN Legal business name | Blackwell, Sandra L |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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