Black, Edward Barnwell

Black, Edward Barnwell is an individual health care provider with primary practice located at 1705 East Blvd , Charlotte NC 28203-5800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Black, Edward Barnwell can be contacted via phone (704) 909-5960.

Contact Information

Primary practice address
1705 East Blvd Charlotte NC 28203-5800
Phone: (704) 909-5960
Fax: (704) 770-0501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 22677 North Carolina

Profile Details

NPI number 1003811209
LBN Legal business name Black, Edward Barnwell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated May 28th, 2014 - 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 1003811209 NPPES
North Carolina MEDICAID 7915850

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