Black, John-David
Black, John-David is an individual health care provider with primary practice located at 845 Swift Blvd , Richland WA 99352. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Black, John-David can be contacted via phone (509) 946-1654.Contact Information
Primary practice address
845 Swift Blvd
Richland WA 99352
Phone: (509) 946-1654
Fax: (509) 943-5652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD60544517 | Washington |
Profile Details
| NPI number | 1619105004 |
|---|---|
| LBN Legal business name | Black, John-David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2009 |
| Last updated | Apr 16th, 2021 - about 3 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 | 1619105004 | NPPES |
| Washington | MEDICAID | 1619105004 | |
| Washington | MEDICAID | 102931509 |
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