Black, Carolyn Margaret

Black, Carolyn Margaret is an individual health care provider with primary practice located at 1001 E Bogard Rd , Wasilla AK 99654-7114. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Black, Carolyn Margaret can be contacted via phone (907) 376-2225.

Contact Information

Primary practice address
1001 E Bogard Rd Wasilla AK 99654-7114
Phone: (907) 376-2225
Fax: (907) 376-9225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 119902014 Alaska

Profile Details

NPI number 1245461540
LBN Legal business name Black, Carolyn Margaret
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2009
Last updated Jul 1st, 2014 - about 11 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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