Black, Nicholas Paul

Black, Nicholas Paul is an individual health care provider with primary practice located at 1201 Health Center Pkwy , Yukon OK 73099-6381. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Black, Nicholas Paul can be contacted via phone (405) 717-6800.

Contact Information

Primary practice address
1201 Health Center Pkwy Yukon OK 73099-6381
Phone: (405) 717-6800
Fax: (405) 717-7964
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 94051 Oklahoma

Profile Details

NPI number 1780822163
LBN Legal business name Black, Nicholas Paul
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2009
Last updated Dec 6th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780822163 NPPES
Oklahoma MEDICAID 200226570A

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