Black, David J

Black, David J is an individual health care provider with primary practice located at 8 North Us 31 Suite B, Whiteland IN 46184-1546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Black, David J can be contacted via phone (317) 787-6566.

Contact Information

Primary practice address
8 North Us 31 Suite B Whiteland IN 46184-1546
Phone: (317) 787-6566
Fax: (317) 888-6766
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01034170 Indiana
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01034170A Indiana

Profile Details

NPI number 1841400371
LBN Legal business name Black, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Feb 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841400371 NPPES
Indiana MEDICAID 100217860
Indiana MEDICAID 100217860A

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