Black, Joseph T

Black, Joseph T is an individual health care provider with primary practice located at 4921 Parkview Pl , Saint Louis MO 63110-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Black, Joseph T can be contacted via phone (314) 362-1408.

Contact Information

Primary practice address
4921 Parkview Pl Saint Louis MO 63110-1032
Phone: (314) 362-1408
Fax: (314) 747-2444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X R6503 Missouri

Profile Details

NPI number 1083798714
LBN Legal business name Black, Joseph T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Jan 24th, 2018 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083798714 NPPES
Illinois MEDICAID ENROLLED

Popular Providers