Black, Joseph M
Black, Joseph M is an sole proprietor health care provider with primary practice located at 2550 Nw Edenbower Blvd Suite 100, Roseburg OR 97471-8829. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Black, Joseph M can be contacted via phone (541) 580-5328.Contact Information
Primary practice address
2550 Nw Edenbower Blvd Suite 100
Roseburg OR 97471-8829
Phone: (541) 580-5328
Fax: (541) 727-5360
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD20220 | Oregon |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD20220 | Oregon |
Profile Details
NPI number | 1578524377 |
---|---|
LBN Legal business name | Black, Joseph M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 31st, 2006 |
Last updated | Mar 3rd, 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 | 1578524377 | NPPES |
Oregon | MEDICAID | 151095 |
Popular Providers
-
Willis, Samuel M
2739 Laurel St 1-A, Columbia SC 29204-2028 -
Berger, Jeffrey N
1 Dakota Dr Suite 310, New Hyde Park NY 11042-1119 -
Petre, Sorin
2510 Nw Edenbower Blvd Ste 112 , Roseburg OR 97471-8899 -
Jacobson, Dan G.
2960 Ne Heather Ct , Jensen Beach FL 34957-5066 -
Doman, David B
12012 Veirs Mill Rd , Wheaton MD 20906-4513 -
Karagiannis, John P.
303 S Nappanee St , Elkhart IN 46514-2066 -
Gregory, David Max
3435 Nw 56Th St Ste 314, Oklahoma City OK 73112-4414 -
Mathis, John Glenn
17501 Generations Dr , South Bend IN 46635-1589