Black, Anthony Shane
Black, Anthony Shane is an sole proprietor health care provider with primary practice located at 1491 Hartford Hwy , Dothan AL 36301-3349. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Black, Anthony Shane can be contacted via phone (334) 673-1488.Contact Information
Primary practice address
1491 Hartford Hwy
Dothan AL 36301-3349
Phone: (334) 673-1488
Fax: (334) 673-8798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1638 | Alabama |
Profile Details
| NPI number | 1497724645 |
|---|---|
| LBN Legal business name | Black, Anthony Shane |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Sep 9th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497724645 | NPPES |
| Alabama | Other | 1497724645 | NPI |
| Alabama | Other | 350045914 | NPI |
| Alabama | Other | 51078506 | NPI |
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