Surber Blackwell, Jill
Surber Blackwell, Jill is an individual health care provider with primary practice located at 9139 Ridgeline Blvd , Highlands Ranch CO 80129-2333. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Surber Blackwell, Jill can be contacted via phone (303) 471-7727.Contact Information
Primary practice address
9139 Ridgeline Blvd
Highlands Ranch CO 80129-2333
Phone: (303) 471-7727
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1085 | Colorado |
Profile Details
| NPI number | 1750407367 |
|---|---|
| LBN Legal business name | Surber Blackwell, Jill |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Dec 11th, 2012 - about 14 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 | 1750407367 | NPPES |
| Other | 013563 | KAISER-COMMERCIAL NUMBER |
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