Black, Delbert Roger
Black, Delbert Roger is an individual health care provider with primary practice located at 1850 N Central Ave Ste 1600, Phoenix AZ 85004-4527. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Black, Delbert Roger can be contacted via phone (602) 744-4765.Contact Information
Primary practice address
1850 N Central Ave Ste 1600
Phoenix AZ 85004-4527
Phone: (602) 744-4765
Fax: (602) 744-4799
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 32881 | Arizona |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 32881 | Arizona |
Profile Details
NPI number | 1649243627 |
---|---|
LBN Legal business name | Black, Delbert Roger |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 9th, 2006 |
Last updated | Jun 25th, 2018 - about 7 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 | 1649243627 | NPPES |
Other | P00389632 | MEDICARE RAILROAD | |
MEDICAID | 884925 | MEDICARE RAILROAD |
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