Black, Gladys E
Black, Gladys E is an individual health care provider with primary practice located at 441 N Wabash Ave , Marion IN 46952-2612. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Black, Gladys E can be contacted via phone (765) 660-6411.Contact Information
Primary practice address
441 N Wabash Ave
Marion IN 46952-2612
Phone: (765) 660-6411
Fax: (765) 651-7313
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 71002475Z | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71002475A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 71002475A | Indiana |
Profile Details
NPI number | 1205011715 |
---|---|
LBN Legal business name | Black, Gladys E |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 2nd, 2008 |
Last updated | Mar 27th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205011715 | NPPES |
Indiana | MEDICAID | 200982170 | |
Indiana | Other | 000000645919 |
Popular Providers
-
Tilgner, Dawn F.
3303 Sw Bond Ave , Portland OR 97239-4501 -
Funk, Susan L
65 International Dr , Greenville SC 29615-4816 -
Rose, Riley D
1406 W Bella Dr , Marion IN 46953-5229 -
Harris, Luann
3 Butternut Drive Suite B, Greenville SC 29605-4653 -
Blackburn, Vickie Marie
1721 Ebenezer Rd Ste 175, Rock Hill SC 29732-4103 -
Fikes, Debra Kay
9981 S Healthpark Dr Ste 156 , Fort Myers FL 33908-3618 -
Doherty, Gloria
2211 Lomas Blvd Ne , Albuquerque NM 87106-2719 -
Fogelman, Patricia Ann
1800 E Park Ave , State College PA 16803-6701