Black, Marianne M.
Black, Marianne M. is an individual health care provider with primary practice located at 2000 Regency Ct Ste 103, Toledo OH 43623-3090. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Black, Marianne M. can be contacted via phone (419) 475-5433.Contact Information
Primary practice address
2000 Regency Ct Ste 103
Toledo OH 43623-3090
Phone: (419) 475-5433
Fax: (419) 475-4770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35064283 | Ohio |
Profile Details
| NPI number | 1831191063 |
|---|---|
| LBN Legal business name | Black, Marianne M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Nov 30th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831191063 | NPPES |
| Ohio | MEDICAID | 0184330 |
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