Black, Jonathan

Black, Jonathan is an individual health care provider with primary practice located at 1 Richland Medical Park Dr Suite 200, Columbia SC 29203-6834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Black, Jonathan can be contacted via phone (803) 765-9233.

Contact Information

Primary practice address
1 Richland Medical Park Dr Suite 200 Columbia SC 29203-6834
Phone: (803) 765-9233
Fax: (803) 779-0344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X TL34783 South Carolina

Profile Details

NPI number 1659588382
LBN Legal business name Black, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Jul 19th, 2012 - about 12 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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