Black, Deborah Naomi

Black, Deborah Naomi is an individual health care provider with primary practice located at 130 Fisher Rd Mob-A Suite 1, Berlin VT 05602-9516. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Black, Deborah Naomi can be contacted via phone (802) 225-5650.

Contact Information

Primary practice address
130 Fisher Rd Mob-A Suite 1 Berlin VT 05602-9516
Phone: (802) 225-5650
Fax: (802) 225-5651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 042 0009704 Vermont

Profile Details

NPI number 1770622896
LBN Legal business name Black, Deborah Naomi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jan 14th, 2015 - about 10 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 1770622896 NPPES
Vermont MEDICAID OVN1845
Vermont Other VN184503

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