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Contact Information

STEPHANIE L BLACKWOOD
208 W AVENUE P
LOVINGTON, NM88260-5419
 Phone: 575-964-0730
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for STEPHANIE L BLACKWOOD · (Female)

NPI # 1790321628
Status Active
Credentials
Entity Individual
Enumeration date 11/26/2019
Last updated 11/26/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 84-3728469
  • NM Medicaid 84-3728469
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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