Black, Eugenia

Black, Eugenia is an individual health care provider with primary practice located at 51541 Bittersweet Rd , Granger IN 46530-4987. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Black, Eugenia can be contacted via phone (574) 400-7270.

Contact Information

Primary practice address
51541 Bittersweet Rd Granger IN 46530-4987
Phone: (574) 400-7270
Fax: (574) 222-2658
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1811569106
LBN Legal business name Black, Eugenia
Credentials OWNER
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2021
Last updated Apr 9th, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811569106 NPPES
Indiana MEDICAID 05

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