Black, Eric

Black, Eric is an individual health care provider with primary practice located at 1650 Dixwell Ave , Hamden CT 06514-3615. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Black, Eric can be contacted via phone (203) 288-1700.

Contact Information

Primary practice address
1650 Dixwell Ave Hamden CT 06514-3615
Phone: (203) 288-1700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3462 Connecticut

Profile Details

NPI number 1962874792
LBN Legal business name Black, Eric
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2015
Last updated Oct 20th, 2015 - about 9 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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