Black, Justin Clint
Black, Justin Clint is an sole proprietor health care provider with primary practice located at 18 13Th Ave Ne , Hickory NC 28601-3748. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Black, Justin Clint can be contacted via phone (828) 322-2644.Contact Information
Primary practice address
18 13Th Ave Ne
Hickory NC 28601-3748
Phone: (828) 322-2644
Fax: (828) 327-2235
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | LL35690 | South Carolina |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2018-01112 | North Carolina |
Profile Details
NPI number | 1508206285 |
---|---|
LBN Legal business name | Black, Justin Clint |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 26th, 2013 |
Last updated | May 13th, 2021 - about 4 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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