Craft-Blackshear, Melva Gale

Craft-Blackshear, Melva Gale is an individual health care provider with primary practice located at 7815 E Jefferson Ave Suite 3A, Detroit MI 48214-3704. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Craft-Blackshear, Melva Gale can be contacted via phone (313) 499-4170.

Contact Information

Primary practice address
7815 E Jefferson Ave Suite 3A Detroit MI 48214-3704
Phone: (313) 499-4170
Fax: (313) 499-4911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4704131538 Michigan

Profile Details

NPI number 1275572570
LBN Legal business name Craft-Blackshear, Melva Gale
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275572570 NPPES
Massachusetts MEDICAID 4702370
Massachusetts MEDICAID 4702360

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