Black, Eleanore Kristy

Black, Eleanore Kristy is an individual health care provider with primary practice located at 5 Perryridge Rd , Greenwich CT 06830-4608. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Black, Eleanore Kristy can be contacted via phone (203) 863-3409.

Contact Information

Primary practice address
5 Perryridge Rd Greenwich CT 06830-4608
Phone: (203) 863-3409
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 65343 Connecticut

Profile Details

NPI number 1255863866
LBN Legal business name Black, Eleanore Kristy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2017
Last updated Nov 10th, 2020 - about 4 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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