Black, James D

Black, James D is an sole proprietor health care provider with primary practice located at 101 Rochdale Dr S Suite C, Rochester Hills MI 48309-2273. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Black, James D can be contacted via phone (248) 652-3400.

Contact Information

Primary practice address
101 Rochdale Dr S Suite C Rochester Hills MI 48309-2273
Phone: (248) 652-3400
Fax: (248) 652-3401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X JB001105 Michigan
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X JB001105 Michigan

Profile Details

NPI number 1649265232
LBN Legal business name Black, James D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2005
Last updated May 24th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649265232 NPPES
Michigan Other 0731430001 DME - SUPPLIES, EQUIPMENT
Michigan MEDICAID 1626185 DME - SUPPLIES, EQUIPMENT
Michigan Other 382583434 DME - SUPPLIES, EQUIPMENT
Michigan Other 5635035 DME - SUPPLIES, EQUIPMENT
Michigan Other 485635035 DME - SUPPLIES, EQUIPMENT

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