Black, Danny Earl
Black, Danny Earl is an individual health care provider with primary practice located at 1600 S Coulter St Bldg G, Suite 500, Amarillo TX 79106-1710. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Black, Danny Earl can be contacted via phone (806) 351-2762.Contact Information
Primary practice address
1600 S Coulter St Bldg G, Suite 500
Amarillo TX 79106-1710
Phone: (806) 351-2762
Fax: (806) 351-2763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 20035 | Texas |
Profile Details
| NPI number | 1821191818 |
|---|---|
| LBN Legal business name | Black, Danny Earl |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | May 21st, 2015 - 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 | 1821191818 | NPPES |
| Texas | Other | G601311 | CHIPS |
| Texas | MEDICAID | 147448802 | CHIPS |
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