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
Fax: (541) 727-5360
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578524377 NPPES
Oregon MEDICAID 151095

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