Black, Philip

Black, Philip is an individual health care provider with primary practice located at 2 Riverview Dr , Danbury CT 06810-6268. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Black, Philip can be contacted via phone (203) 797-1500.

Contact Information

Primary practice address
2 Riverview Dr Danbury CT 06810-6268
Phone: (203) 797-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 4359 Connecticut

Profile Details

NPI number 1023587094
LBN Legal business name Black, Philip
Credentials ATC, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2018
Last updated Jan 10th, 2019 - 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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