Blackwood, Wayne Everthan

Blackwood, Wayne Everthan is an individual health care provider with primary practice located at 2914 E Joppa Rd Ste 201 , Parkville MD 21234-3045. He recently has only one registered license in Nursing Service Related Providers / Technician, which is considered as his primary health care specialty. Blackwood, Wayne Everthan can be contacted via phone (443) 635-1423.

Contact Information

Primary practice address
2914 E Joppa Rd Ste 201 Parkville MD 21234-3045
Fax: (410) 882-0970
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Technician 374700000X

Profile Details

NPI number 1093582827
LBN Legal business name Blackwood, Wayne Everthan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2023
Last updated Dec 12th, 2023 - about 3 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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