Black, Michelle Raegene

Black, Michelle Raegene is an sole proprietor health care provider with primary practice located at 1200 Cherokee St Unit #203, Denver CO 80204-3664. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Black, Michelle Raegene can be contacted via phone (303) 601-5171.

Contact Information

Primary practice address
1200 Cherokee St Unit #203 Denver CO 80204-3664
Phone: (303) 601-5171
Fax: (303) 223-0981
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 246ZS0400X Colorado

Profile Details

NPI number 1598889123
LBN Legal business name Black, Michelle Raegene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598889123 NPPES
Colorado Other 50416 ATHEM
Colorado Other 5214875 ATHEM

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