Black, Barry G.

Black, Barry G. is an individual health care provider with primary practice located at 1122 14Th Ave Se , Decatur AL 35601-3361. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Black, Barry G. can be contacted via phone (256) 560-2890.

Contact Information

Primary practice address
1122 14Th Ave Se Decatur AL 35601-3361
Phone: (256) 560-2890
Fax: (256) 350-2609
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1-066229 Alabama

Profile Details

NPI number 1801853593
LBN Legal business name Black, Barry G.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jul 24th, 2007 - about 18 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 1801853593 NPPES
Other 51526755 BCBS OF AL PIN

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