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Contact Information

IRA BLACKWELL
28 FAMILY WAY LANE
HEATHSVILLE, VA22473
 Phone: 804-580-8117
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for IRA BLACKWELL · (Male)

NPI # 1669978599
Status Active
Credentials
Entity Individual
Enumeration date 03/31/2018
Last updated 03/31/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # T66908696
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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