Black, John
Black, John is an individual health care provider with primary practice located at 1633 N Capitol Ave Suite 680, Indianapolis IN 46202-1261. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Black, John can be contacted via phone (317) 962-8851.Contact Information
Primary practice address
1633 N Capitol Ave Suite 680
Indianapolis IN 46202-1261
Phone: (317) 962-8851
Fax: (317) 962-0335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 01033540 | Indiana |
Profile Details
| NPI number | 1932143500 |
|---|---|
| LBN Legal business name | Black, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jan 12th, 2015 - about 9 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 | 1932143500 | NPPES |
| Indiana | MEDICAID | 100236700 |
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