Black, Jill
Black, Jill is an individual health care provider with primary practice located at G3375 S Saginaw St , Burton MI 48529-1277. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Black, Jill can be contacted via phone (810) 743-6830.Contact Information
Primary practice address
G3375 S Saginaw St
Burton MI 48529-1277
Phone: (810) 743-6830
Fax: (810) 743-7102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 2902014907 | Michigan |
Profile Details
| NPI number | 1851696413 |
|---|---|
| LBN Legal business name | Black, Jill |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2011 |
| Last updated | Jan 12th, 2011 - about 14 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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