Black, Joseph Edward
Black, Joseph Edward is an sole proprietor health care provider with primary practice located at 731 E Main St Suite 13, Jackson OH 45640-2100. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Black, Joseph Edward can be contacted via phone (740) 286-8789.Contact Information
Primary practice address
731 E Main St Suite 13
Jackson OH 45640-2100
Phone: (740) 286-8789
Fax: (740) 286-8789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 4889 | Ohio |
Profile Details
| NPI number | 1124178918 |
|---|---|
| LBN Legal business name | Black, Joseph Edward |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Nov 22nd, 2011 - about 13 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 | 1124178918 | NPPES |
| Ohio | MEDICAID | 2047529 |
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