Black, M. Kathryn

Black, M. Kathryn is an sole proprietor health care provider with primary practice located at 750 Central Ave , Willits CA 95490-3938. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Other Service Providers / Acupuncturist. Other Service Providers / Acupuncturist is her primary health care specialty. Black, M. Kathryn can be contacted via phone (707) 459-5744.

Contact Information

Primary practice address
750 Central Ave Willits CA 95490-3938
Phone: (707) 459-5744
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 14582 California
Other Service Providers / Acupuncturist 171100000X AC3224 California

Profile Details

NPI number 1548374754
LBN Legal business name Black, M. Kathryn
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Jul 23rd, 2019 - about 5 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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