Black, Jonathan S.

Black, Jonathan S. is an individual health care provider with primary practice located at 1300 Jefferson Park Ave , Charlottesville VA 22903-3363. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Black, Jonathan S. can be contacted via phone (434) 924-5078.

Contact Information

Primary practice address
1300 Jefferson Park Ave Charlottesville VA 22903-3363
Phone: (434) 924-5078
Fax: (434) 924-8118
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101256477 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116019221 Virginia
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 0101256477 Virginia

Profile Details

NPI number 1548463300
LBN Legal business name Black, Jonathan S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated Aug 9th, 2023 - about last year

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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