Black, Merritt R

Black, Merritt R is an individual health care provider with primary practice located at 3205 Hurley Way , Sacramento CA 95864-3853. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Black, Merritt R can be contacted via phone (915) 648-5677.

Contact Information

Primary practice address
3205 Hurley Way Sacramento CA 95864-3853
Phone: (915) 648-5677
Fax: (916) 485-2653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 3207 California

Profile Details

NPI number 1518218460
LBN Legal business name Black, Merritt R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2012
Last updated Oct 1st, 2012 - about 13 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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