Black, Joshua Phillip

Black, Joshua Phillip is an sole proprietor health care provider with primary practice located at 740 S Woodruff Ave , Idaho Falls ID 83401-5285. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Black, Joshua Phillip can be contacted via phone (208) 542-9111.

Contact Information

Primary practice address
740 S Woodruff Ave Idaho Falls ID 83401-5285
Phone: (208) 542-9111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-2447 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-2447 Idaho

Profile Details

NPI number 1922714104
LBN Legal business name Black, Joshua Phillip
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2023
Last updated Jan 30th, 2023 - about 2 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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