Black, David Michael

Black, David Michael is an individual health care provider with primary practice located at 625 9Th Ave Ste 210, Longview WA 98632-2465. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Black, David Michael can be contacted via phone (360) 501-3400.

Contact Information

Primary practice address
625 9Th Ave Ste 210 Longview WA 98632-2465
Phone: (360) 501-3400
Fax: (360) 423-6862
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD00023497 Washington
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X MD00024397 Washington

Profile Details

NPI number 1245205228
LBN Legal business name Black, David Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Apr 7th, 2014 - about 11 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 1245205228 NPPES
Washington MEDICAID 1014117
Washington MEDICAID 178434

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