Black, Leah I.
Black, Leah I. is an individual health care provider with primary practice located at 1313 Broadway Ste 200 , Tacoma WA 98402-3400. She recently has only one registered license in Nursing Service Providers / Hospice, which is considered as her primary health care specialty. Black, Leah I. can be contacted via phone (253) 301-6490.Contact Information
Primary practice address
1313 Broadway Ste 200
Tacoma WA 98402-3400
Phone: (253) 301-6490
Fax: (253) 301-6531
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Hospice | 163WH1000X | RN00120454 | Washington |
Profile Details
| NPI number | 1225195670 |
|---|---|
| LBN Legal business name | Black, Leah I. |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 5th, 2024 - about 5 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225195670 | NPPES |
| Washington | MEDICAID | 9641473 |
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