Black, Alexandra

Black, Alexandra is an sole proprietor health care provider with primary practice located at 1920 Tamarack Road Unit 301, Newark OH 43055. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Black, Alexandra can be contacted via phone (740) 344-8286.

Contact Information

Primary practice address
1920 Tamarack Road Unit 301 Newark OH 43055
Phone: (740) 344-8286
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 36.003993 Ohio

Profile Details

NPI number 1669978664
LBN Legal business name Black, Alexandra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2018
Last updated Dec 7th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669978664 NPPES
Ohio MEDICAID 0444104

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