Black, Charles Dewayne
Black, Charles Dewayne is an individual health care provider with primary practice located at 1011 14Th Ave Nw Er Dept., Ardmore OK 73401-1828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Black, Charles Dewayne can be contacted via phone (580) 220-6415.Contact Information
Primary practice address
1011 14Th Ave Nw Er Dept.
Ardmore OK 73401-1828
Phone: (580) 220-6415
Fax: (405) 749-4561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 3023 | Oklahoma |
Profile Details
| NPI number | 1891757860 |
|---|---|
| LBN Legal business name | Black, Charles Dewayne |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Nov 9th, 2007 - 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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