Black, Corey
Black, Corey is an individual health care provider with primary practice located at 13700 St Francis Blvd Ste 100 , Midlothian VA 23114-3222. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Black, Corey can be contacted via phone (804) 594-7300.Contact Information
Primary practice address
13700 St Francis Blvd Ste 100
Midlothian VA 23114-3222
Phone: (804) 594-7300
Fax: (804) 594-7410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 49283-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036103860 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036103860 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101271663 | Virginia |
Profile Details
| NPI number | 1457398422 |
|---|---|
| LBN Legal business name | Black, Corey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Aug 5th, 2022 - about 3 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 | 1457398422 | NPPES |
| Virginia | Other | 0101271663 | STATE LICENSE |
| Virginia | Other | 036103860 | STATE LICENSE |
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