Black, Marlon Dean

Black, Marlon Dean is an individual health care provider with primary practice located at 2320 Bath Street Suite 208 , Santa Barbara CA 93105-5322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Black, Marlon Dean can be contacted via phone (805) 682-7984.

Contact Information

Primary practice address
2320 Bath Street Suite 208 Santa Barbara CA 93105-5322
Phone: (805) 682-7984
Fax: (805) 569-2964
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A84822 California

Profile Details

NPI number 1245442714
LBN Legal business name Black, Marlon Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jul 7th, 2022 - about 2 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 1245442714 NPPES
California MEDICAID 00A848220
California Other 00A848220

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