Black, Carl

Black, Carl is an individual health care provider with primary practice located at 1216 E Hunting Park Ave , Philadelphia PA 19124-4928. 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, Carl can be contacted via phone (215) 533-1333.

Contact Information

Primary practice address
1216 E Hunting Park Ave Philadelphia PA 19124-4928
Phone: (215) 533-1333
Fax: (215) 744-4324
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X OA005627 Pennsylvania

Profile Details

NPI number 1336723840
LBN Legal business name Black, Carl
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2021
Last updated May 11th, 2021 - about 3 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.

Request for update

Popular Providers