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Contact Information

DARRELL K BLACKWELL, DO
1490 PARK AVE NW
SUITE 5
NORTON, VA24273-1631
 Phone: 276-439-1440
 Fax: 276-439-1441
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DARRELL K BLACKWELL · (Male)

NPI # 1710079819
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/28/2006
Last updated 01/27/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0102050073
  • VA Medicaid 1710079819
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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