Black, Levi Colter

Black, Levi Colter is an individual health care provider with primary practice located at 117 E 19Th St , Roswell NM 88201-5151. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Black, Levi Colter can be contacted via phone (814) 877-2137.

Contact Information

Primary practice address
117 E 19Th St Roswell NM 88201-5151
Phone: (814) 877-2137
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA0680 Arizona

Profile Details

NPI number 1508185760
LBN Legal business name Black, Levi Colter
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2010
Last updated Jul 5th, 2021 - about 3 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 1508185760 NPPES
Arizona MEDICAID 528136
Arizona MEDICAID 1508185760

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