Black, Karin K

Black, Karin K is an individual health care provider with primary practice located at 1400 E 2Nd St , Defiance OH 43512-2440. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Black, Karin K can be contacted via phone (419) 784-1414.

Contact Information

Primary practice address
1400 E 2Nd St Defiance OH 43512-2440
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34011499 Ohio

Profile Details

NPI number 1366753584
LBN Legal business name Black, Karin K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2010
Last updated Jan 7th, 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 1366753584 NPPES
Ohio MEDICAID 0109257

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