Black, Carla Louise
Black, Carla Louise is an individual health care provider with primary practice located at 12605 E 16Th Ave , Aurora CO 80045-2545. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Black, Carla Louise can be contacted via phone (720) 848-0000.Contact Information
Primary practice address
12605 E 16Th Ave
Aurora CO 80045-2545
Phone: (720) 848-0000
Fax: (720) 848-4293
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA.0004432 | Colorado |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA.0004432 | Colorado |
Profile Details
NPI number | 1215309695 |
---|---|
LBN Legal business name | Black, Carla Louise |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 26th, 2015 |
Last updated | Oct 22nd, 2018 - about 6 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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