Black, Jeffery Reuben
Black, Jeffery Reuben is an sole proprietor health care provider with primary practice located at 109 Physicians Dr Ste B , Greer SC 29650-2446. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Black, Jeffery Reuben can be contacted via phone (864) 797-9170.Contact Information
Primary practice address
109 Physicians Dr Ste B
Greer SC 29650-2446
Phone: (864) 797-9170
Fax: (864) 797-9175
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 37486 | Georgia |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 89089 | South Carolina |
Profile Details
| NPI number | 1508954975 |
|---|---|
| LBN Legal business name | Black, Jeffery Reuben |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Jan 27th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508954975 | NPPES |
| Georgia | MEDICAID | 000752661B |
Popular Providers
-
Berson, Casey Lee
109 Physicians Dr Ste B , Greer SC 29650-2446 -
Pascual, Anne Grace Stephanie
1441 Constitution Blvd Bldg 400, 2Nd Floor, Salinas CA 93906-3100 -
Maletic, Vladimir
108 Belfrey Dr , Greer SC 29650-3647 -
Feigl, Frances Marie
20 E Evergreen Ave , Somerdale NJ 08083-1402 -
Speer, Connie Lou
1407 M D Ln Ste A, Tallahassee FL 32308-5349 -
Mccormick, Thomas R
24001 Greater Mack Ave Ste B, St Clair Shores MI 48080-1407 -
Chruscicki, Christine M
100 Pinewild Dr Suite 2A, Rochester NY 14606-4200 -
Alimasuya, Joseph
6777 N Willow Ave , Fresno CA 93710-5900