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Contact Information

BLACKWELL HMPN, LLC
710 S 13TH ST
BLACKWELL, OK74631-3700
 Phone: 580-363-9475
 Fax: 580-363-9463
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BLACKWELL HMPN LLC · (Female)

NPI # 1700132404
Status Active
Credentials
Entity Individual
Enumeration date 07/31/2012
Last updated 11/27/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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