Black, Earl
Black, Earl is an individual health care provider with primary practice located at 46591 Romeo Plank Rd , Macomb MI 48044-5742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Black, Earl can be contacted via phone (586) 443-4950.Contact Information
Primary practice address
46591 Romeo Plank Rd
Macomb MI 48044-5742
Phone: (586) 443-4950
Fax: (586) 443-4980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301023839 | Michigan |
Profile Details
| NPI number | 1881681732 |
|---|---|
| LBN Legal business name | Black, Earl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1881681732 | NPPES |
| Michigan | MEDICAID | 2880541 |
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