Black, Carol C

Black, Carol C is an sole proprietor health care provider with primary practice located at 705 Professional Plaza Dr Suite 3, Greeneville TN 37745-5196. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Black, Carol C can be contacted via phone (423) 638-4158.

Contact Information

Primary practice address
705 Professional Plaza Dr Suite 3 Greeneville TN 37745-5196
Phone: (423) 638-4158
Fax: (423) 638-4158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 515 Tennessee

Profile Details

NPI number 1962663294
LBN Legal business name Black, Carol C
Credentials SPECIALIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2008
Last updated Jun 19th, 2008 - about 17 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 1962663294 NPPES
Tennessee Other 0184409 BLUE CROSS BLUE SHIELD TENNESSEE

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