Black, Micheal
Black, Micheal is an sole proprietor health care provider with primary practice located at 10358 S Redwood Rd , South Jordan UT 84095-9339. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Black, Micheal can be contacted via phone (801) 253-3158.Contact Information
Primary practice address
10358 S Redwood Rd
South Jordan UT 84095-9339
Phone: (801) 253-3158
Fax: (801) 254-5739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 261943-4701 | Utah |
Profile Details
| NPI number | 1760511422 |
|---|---|
| LBN Legal business name | Black, Micheal |
| Credentials | L.M.T. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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