Black, Eddie J
Black, Eddie J is an individual health care provider with primary practice located at 510 N Broadway St , Cleveland OK 74020-2206. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Black, Eddie J can be contacted via phone (918) 358-3509.Contact Information
Primary practice address
510 N Broadway St
Cleveland OK 74020-2206
Phone: (918) 358-3509
Fax: (918) 358-3026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Neurology | 111NN0400X | 1611 | Oklahoma |
Profile Details
| NPI number | 1639293087 |
|---|---|
| LBN Legal business name | Black, Eddie J |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1639293087 | NPPES |
| Oklahoma | Other | 1611 | TYPE I |
Popular Providers
-
Manana, Angela
Manati Medical Center Dr. Otero Lopez Suite 105 Urb. Atenas Calle Hernandez Carrion, Manati PR 00674 -
Mcclane, Jerry D
3060 W Coldwater Rd , Mount Morris MI 48458-9347 -
Noseworthy, Steven A
16614 N Dale Mabry Hwy , Tampa FL 33618-1400 -
Placide, Michael P
6003 Harbour Park Dr , Midlothian VA 23112-2160 -
Mccarney, Michael T
6003 Harbour Park Dr , Midlothian VA 23112-2160 -
Kennedy, Joseph S
10330 Iron Bridge Rd , Chester VA 23831-1425 -
Peterson, Margaret I
29 Washington St , Belfast ME 04915-6630 -
Phillips, Frederick B
4010 Nw Cache Rd , Lawton OK 73505-3634