Black, Andrew

Black, Andrew is an individual health care provider with primary practice located at 5041 Victor Dr Ste C , Medina OH 44256-6028. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Black, Andrew can be contacted via phone (330) 723-3338.

Contact Information

Primary practice address
5041 Victor Dr Ste C Medina OH 44256-6028
Phone: (330) 723-3338
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN.CNP.023120 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN.CNP.023120 Ohio

Profile Details

NPI number 1346726999
LBN Legal business name Black, Andrew
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2018
Last updated Jul 17th, 2018 - about 7 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 1346726999 NPPES
Ohio Other APRN.CNP.023120 STATE (OHIO) ENDORSEMENT CNP

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