Black, Elizabeth Ann
Black, Elizabeth Ann is an sole proprietor health care provider with primary practice located at 18100 Mack Ave , Grosse Pointe MI 48230-6252. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Black, Elizabeth Ann can be contacted via phone (313) 884-6680.Contact Information
Primary practice address
18100 Mack Ave
Grosse Pointe MI 48230-6252
Phone: (313) 884-6680
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 050869 | New York |
| Dental Providers / Dentist | 122300000X | 2901600749 | Michigan |
Profile Details
| NPI number | 1770606584 |
|---|---|
| LBN Legal business name | Black, Elizabeth Ann |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2007 |
| Last updated | Sep 19th, 2023 - about last year |
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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