Black, Anita
Black, Anita is an sole proprietor health care provider with primary practice located at 182 Middleton Park Ln , Moore SC 29369-7800. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Black, Anita can be contacted via phone (864) 804-2166.Contact Information
Primary practice address
182 Middleton Park Ln
Moore SC 29369-7800
Phone: (864) 804-2166
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Early Intervention Provider Agency | 252Y00000X | South Carolina |
Profile Details
| NPI number | 1477234235 |
|---|---|
| LBN Legal business name | Black, Anita |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2023 |
| Last updated | Jul 26th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477234235 | NPPES |
| South Carolina | Other | 87-0998726 | EINS |
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