Black Iii, John C
Black Iii, John C is an individual health care provider with primary practice located at 2600 Willow Street Pike S , Willow Street PA 17584-9377. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Black Iii, John C can be contacted via phone (717) 464-3223.Contact Information
Primary practice address
2600 Willow Street Pike S
Willow Street PA 17584-9377
Phone: (717) 464-3223
Fax: (717) 464-4150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS026798L | Pennsylvania |
Profile Details
| NPI number | 1477650455 |
|---|---|
| LBN Legal business name | Black Iii, John C |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 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.
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