Black, Dallas

Black, Dallas is an individual health care provider with primary practice located at 1011 Pennsylvania Ave , Ottumwa IA 52501-2129. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Black, Dallas can be contacted via phone (641) 682-7511.

Contact Information

Primary practice address
1011 Pennsylvania Ave Ottumwa IA 52501-2129
Phone: (641) 682-7511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X H165013 Iowa

Profile Details

NPI number 1760156665
LBN Legal business name Black, Dallas
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2021
Last updated Jan 21st, 2022 - about 4 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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