Black, Mary
Black, Mary is an individual health care provider with primary practice located at 1427 Oakland St , Saint Clair MI 48079-5122. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Black, Mary can be contacted via phone (810) 650-5902.Contact Information
Primary practice address
1427 Oakland St
Saint Clair MI 48079-5122
Phone: (810) 650-5902
Fax: (800) 305-6764
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1750823456 |
|---|---|
| LBN Legal business name | Black, Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2016 |
| Last updated | Nov 11th, 2016 - about 8 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 | 1750823456 | NPPES |
| Michigan | Other | 81-4065881 | FEIN |
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