John H Blackshear in Garner - Clinical

John H Blackshear - NPI 1174644579

John H Blackshear is a Clinical in Garner, North Carolina. John H Blackshear practices all healthcare services and medical treatments related to Clinical. The NPI Number for John H Blackshear is 1174644579. The last update date is 2007-07-09.

John H Blackshear's current location address is 149 Us Highway 70 W, Garner, North Carolina. You can contact this provider via phone number 9193296001 and fax number 9196627883. The mailing address for John H Blackshear is 149 Us Highway 70 W, Garner, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name John H Blackshear
Address 149 Us Highway 70 W, Garner, North Carolina
Phone Number 9193296001
Fax Number 9196627883
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1174644579
Provider Enumeration Date 2007-04-03
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 149 Us Highway 70 W
City Garner
State North Carolina (NC)
Post Code 275293942
Phone Number 9193296001
Fax Number 9196627883

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 2894
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8301182B NC --
018GN NC BCBS OF NC

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FAQs about John H Blackshear

What is the unique 10-digit identifier code issued to John H Blackshear by the Centers for Medicare & Medicaid Services?

The John H Blackshear has been assigned the NPI (National Provider Identifier) 1174644579 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of John H Blackshear?

The John H Blackshear is physically situated at 149 Us Highway 70 W, in the city of Garner, state of NC, with the postal code 275293942.

What is John H Blackshear's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for John H Blackshear is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1174644579 to John H Blackshear?

The Centers for Medicare & Medicaid Services assigned the 1174644579 to John H Blackshear on 2007-04-03.

When was the John H Blackshear's information last updated?

The John H Blackshear's information was last updated on 2007-07-09.

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