Active NPIIndividual provider

Dr. Carol L Blackwood, MD

Family Medicine in White River Junction, Vermont

NPI Number1255301016
Practice location
215 N Main St, Veterans Affairs Medical Center, White River Junction, VT 05009-0001
Fax
—
Last updated
April 22, 2011

Carol Lee Blackwood is a Family Medicine based in White River Junction, VT. Carol Lee Blackwood practices in White River Junction, VT and has the professional credentials of MD. The NPI Number for Carol Lee Blackwood is 1255301016 and holds a License No. 2005-00643 (NC). The current practice location address for Carol Lee Blackwood is 215 N Main St, Veterans Affairs Medical Center, White River Junction, VT 05009-0001 and can be reached out via phone at 802-742-0415.

Provider Profile Details

NPI Number
1255301016
Provider Name
Carol Lee Blackwood
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
215 N Main St, Veterans Affairs Medical Center, White River Junction, VT 05009-0001
Phone Number
802-742-0415
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
January 25, 2006
Last Update Date
April 22, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
215 N Main St
Veterans Affairs Medical Center
White River Junction, VT 05009-0001
State
Vermont
Zip
05009-0001
Phone Number
802-742-0415
White River Junction, VT 05009Get directions →

Provider Business Mailing Address Details

Address
215 N Main St
Veterans Affairs Medical Center
White River Junction, VT 05009-0001
City
White River Junction
State
VT
Zip
05009-0001
Phone Number
802-742-0415

License Information

License Number (1)
2005-00643
License State (1)
NC
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
042-0009782
License State (2)
VT
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Carol L Blackwood, MD?

The NPI number of Dr. Carol L Blackwood, MD is 1255301016. It was assigned on January 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Carol L Blackwood, MD?

Dr. Carol L Blackwood, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NC under license number 2005-00643.

Where does Dr. Carol L Blackwood, MD practice?

The practice location is 215 N Main St, Veterans Affairs Medical Center, White River Junction, VT 05009-0001. The office can be reached at 802-742-0415 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255301016 directly on the NPPES registry website.

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