Black, Howard Matthew
Black, Howard Matthew is an sole proprietor health care provider with primary practice located at 102 Hillcrest Dr , Roaring Spring PA 16673-1210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Black, Howard Matthew can be contacted via phone (814) 224-2215.Contact Information
Primary practice address
102 Hillcrest Dr
Roaring Spring PA 16673-1210
Phone: (814) 224-2215
Fax: (814) 224-2011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD039083E | Pennsylvania |
Profile Details
| NPI number | 1215047626 |
|---|---|
| LBN Legal business name | Black, Howard Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1215047626 | NPPES |
| Pennsylvania | MEDICAID | 01294853 |
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