Black, Clifford P.
Black, Clifford P. is an individual health care provider with primary practice located at 1901 Leighton Ave , Anniston AL 36207-3270. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Black, Clifford P. can be contacted via phone (256) 240-9660.Contact Information
Primary practice address
1901 Leighton Ave
Anniston AL 36207-3270
Phone: (256) 240-9660
Fax: (256) 240-9636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 00014219 | Alabama |
Profile Details
| NPI number | 1316903396 |
|---|---|
| LBN Legal business name | Black, Clifford P. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Feb 9th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316903396 | NPPES |
| Alabama | Other | 051044834 | BLUE CROSS BLUE SHIELD |
| Alabama | MEDICAID | 000044834 | BLUE CROSS BLUE SHIELD |
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