Black, Paul N

Black, Paul N is an individual health care provider with primary practice located at 20740 S Ellsworth Rd , Queen Creek AZ 85242-9058. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Black, Paul N can be contacted via phone (480) 987-5900.

Contact Information

Primary practice address
20740 S Ellsworth Rd Queen Creek AZ 85242-9058
Phone: (480) 987-5900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 4057079 Arizona

Profile Details

NPI number 1609030618
LBN Legal business name Black, Paul N
Credentials ED.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2008
Last updated Jul 18th, 2008 - about 16 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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