Black, Michelle M.

Black, Michelle M. is an individual health care provider with primary practice located at 120 Radnor Rd Ste 100 , State College PA 16801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Black, Michelle M. can be contacted via phone (814) 231-7868.

Contact Information

Primary practice address
120 Radnor Rd Ste 100 State College PA 16801
Phone: (814) 231-7868
Fax: (814) 238-4169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X SP011489 Pennsylvania

Profile Details

NPI number 1083902316
LBN Legal business name Black, Michelle M.
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2011
Last updated Aug 7th, 2018 - about 6 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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