Black, Phillip Anthony

Black, Phillip Anthony is an sole proprietor health care provider with primary practice located at 500 S Sweet Gum Ave , Broken Arrow OK 74012-4543. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Black, Phillip Anthony can be contacted via phone (918) 250-5963.

Contact Information

Primary practice address
500 S Sweet Gum Ave Broken Arrow OK 74012-4543
Phone: (918) 250-5963
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2649 Oklahoma

Profile Details

NPI number 1326149873
LBN Legal business name Black, Phillip Anthony
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Jul 8th, 2007 - about 17 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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