Black, James E

Black, James E is an individual health care provider with primary practice located at 640 Jackson St Mail Stop 11302C, Healthpartners Regions Behavioral Hea, St. Paul MN 55101-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Black, James E can be contacted via phone (651) 254-4786.

Contact Information

Primary practice address
640 Jackson St Mail Stop 11302C, Healthpartners Regions Behavioral Hea St. Paul MN 55101-2502
Phone: (651) 254-4786
Fax: (651) 254-9426
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036-092041 Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 54355 Minnesota

Profile Details

NPI number 1639147069
LBN Legal business name Black, James E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Mar 12th, 2021 - about 3 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 1639147069 NPPES
Illinois MEDICAID 036092041

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