Black, David L

Black, David L is an individual health care provider with primary practice located at 4310 Londonderry Rd Suite 202, Harrisburg PA 17109-5300. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Black, David L can be contacted via phone (717) 920-7664.

Contact Information

Primary practice address
4310 Londonderry Rd Suite 202 Harrisburg PA 17109-5300
Phone: (717) 920-7664
Fax: (717) 920-4361
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MA000813L Pennsylvania

Profile Details

NPI number 1427042092
LBN Legal business name Black, David L
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Feb 19th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1427042092 NPPES
Pennsylvania Other 0993475 KEYSTONE
Pennsylvania Other 50041402 KEYSTONE

Popular Providers