Black, Andrew P

Black, Andrew P is an individual health care provider with primary practice located at 6438 Wilmington Pike Ste 110 , Dayton OH 45459-7021. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Black, Andrew P can be contacted via phone (937) 848-4121.

Contact Information

Primary practice address
6438 Wilmington Pike Ste 110 Dayton OH 45459-7021
Phone: (937) 848-4121
Fax: (937) 848-5965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 50-002937 Ohio

Profile Details

NPI number 1790011724
LBN Legal business name Black, Andrew P
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2009
Last updated Mar 26th, 2018 - about 6 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 1790011724 NPPES
Ohio Other 000000636013 BCBS-OH

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