Black, Maureen

Black, Maureen is an sole proprietor health care provider with primary practice located at 5121 S Cottonwood St Im Women And Children Administration 15400-15541, Murray UT 84107-5701. She recently has only one registered license in Hospitals / Women, which is considered as her primary health care specialty. Black, Maureen can be contacted via phone (801) 507-7673.

Contact Information

Primary practice address
5121 S Cottonwood St Im Women And Children Administration 15400-15541 Murray UT 84107-5701
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Women 282NW0100X 290597-3102 Utah

Profile Details

NPI number 1528431335
LBN Legal business name Black, Maureen
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2015
Last updated Nov 3rd, 2015 - about 9 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 1528431335 NPPES
Utah MEDICAID 942854057

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