Black, Jane Beth

Black, Jane Beth is an individual health care provider with primary practice located at 10 Severance Cir , Cleveland Heights OH 44118-1533. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Black, Jane Beth can be contacted via phone (216) 621-5600.

Contact Information

Primary practice address
10 Severance Cir Cleveland Heights OH 44118-1533
Phone: (216) 621-5600
Fax: (216) 479-5554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35-056298 Ohio

Profile Details

NPI number 1720194665
LBN Legal business name Black, Jane Beth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720194665 NPPES
Ohio MEDICAID 0859174

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