Black, Arthur Dewayne

Black, Arthur Dewayne is an individual health care provider with primary practice located at 2725 Andrew Ave , Pascagoula MS 39567-1815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Black, Arthur Dewayne can be contacted via phone (228) 762-3993.

Contact Information

Primary practice address
2725 Andrew Ave Pascagoula MS 39567-1815
Phone: (228) 762-3993
Fax: (228) 762-3839
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 15591 Mississippi

Profile Details

NPI number 1316939358
LBN Legal business name Black, Arthur Dewayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 10th, 2014 - about 10 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 1316939358 NPPES
Mississippi MEDICAID 00118736
Mississippi Other 210017000

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