Black, Michelle
Black, Michelle is an individual health care provider with primary practice located at 10995 Owings Mills Blvd Ste 210 , Owings Mills MD 21117-1030. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Black, Michelle can be contacted via phone (410) 654-2300.Contact Information
Primary practice address
10995 Owings Mills Blvd Ste 210
Owings Mills MD 21117-1030
Phone: (410) 654-2300
Fax: (410) 654-4561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT2843 | District of Columbia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 19159 | Maryland |
Profile Details
| NPI number | 1508964396 |
|---|---|
| LBN Legal business name | Black, Michelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Nov 2nd, 2020 - about 4 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 | 1508964396 | NPPES |
| District of Columbia | Other | 2843 | LICENSE # |
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