Blackwell, Thomas Harold

Blackwell, Thomas Harold is an individual health care provider with primary practice located at 300 Scuffletown Rd , Simpsonville SC 29681-7204. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Blackwell, Thomas Harold can be contacted via phone (864) 329-0029.

Contact Information

Primary practice address
300 Scuffletown Rd Simpsonville SC 29681-7204
Phone: (864) 329-0029
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35587 North Carolina
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 35587 North Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34991 South Carolina

Profile Details

NPI number 1770508020
LBN Legal business name Blackwell, Thomas Harold
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Mar 3rd, 2014 - about 12 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 1770508020 NPPES
North Carolina Other 16021 NCBCBS
North Carolina MEDICAID N35587 NCBCBS
North Carolina MEDICAID 8916021 NCBCBS

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