Jessup, David Blackwell
Jessup, David Blackwell is an individual health care provider with primary practice located at 1001 Newman Rd , New Bern NC 28562-5253. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Jessup, David Blackwell can be contacted via phone (252) 635-6777.Contact Information
Primary practice address
1001 Newman Rd
New Bern NC 28562-5253
Phone: (252) 635-6777
Fax: (252) 634-3183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2548 | Wisconsin |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2013-02325 | North Carolina |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 2548 | Wisconsin |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 2013-02325 | North Carolina |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | DR.0063644 | Colorado |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | D90075 | Maryland |
Profile Details
| NPI number | 1477502136 |
|---|---|
| LBN Legal business name | Jessup, David Blackwell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Apr 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477502136 | NPPES |
| Washington | Other | 82107 | L&I AND CRIME VICTIMS FOR SJMC |
| Washington | MEDICAID | MD7029W | L&I AND CRIME VICTIMS FOR SJMC |
| Washington | Other | P00194456 | L&I AND CRIME VICTIMS FOR SJMC |
| Washington | Other | G8900993 | L&I AND CRIME VICTIMS FOR SJMC |
| Washington | MEDICAID | 1477502136 | L&I AND CRIME VICTIMS FOR SJMC |
| Washington | Other | 0279973 | L&I AND CRIME VICTIMS FOR SJMC |
| Washington | Other | 7503052 | L&I AND CRIME VICTIMS FOR SJMC |
| Washington | Other | A057 | L&I AND CRIME VICTIMS FOR SJMC |
| Washington | Other | G8896098 | L&I AND CRIME VICTIMS FOR SJMC |
| Washington | MEDICAID | 8399099 | L&I AND CRIME VICTIMS FOR SJMC |
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