Black, James R

Black, James R is an individual health care provider with primary practice located at 205 Osceola St , Laurium MI 49913-2134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Black, James R can be contacted via phone (906) 337-6500.

Contact Information

Primary practice address
205 Osceola St Laurium MI 49913-2134
Phone: (906) 337-6500
Fax: (906) 337-6597
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 43046513 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301046513 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301046513 Michigan

Profile Details

NPI number 1871661868
LBN Legal business name Black, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Dec 10th, 2014 - about 11 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 1871661868 NPPES
Michigan Other 010C17613 BLUE CROSS
Michigan MEDICAID 2646217 BLUE CROSS

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