Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IRA BLACKWELL
Active Sole ProprietorIRA BLACKWELL is a Bus healthcare provider located in HEATHSVILLE, Virginia. NPI 1669978599 is currently active in the NPPES registry. Verify at CMS.
Bus · HEATHSVILLE, VA
Registration Details
- NPI Number
- 1669978599
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2018 (8.3958631728306 yrs)
- Last Updated
- Mar 31, 2018
- License
-
T66908696 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
28 FAMILY WAY LANEHEATHSVILLE, VA, 22473Browse VA providers · Browse ZIP 22473
- Phone
- 8045808117
- Primary Specialty
-
Bus
343900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.