Black, Rhonda

Black, Rhonda is an individual health care provider with primary practice located at 748 14Th Ave , Longview WA 98632-2315. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Black, Rhonda can be contacted via phone (360) 200-5419.

Contact Information

Primary practice address
748 14Th Ave Longview WA 98632-2315
Fax: (360) 200-6736
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 61431465 Washington

Profile Details

NPI number 1124714613
LBN Legal business name Black, Rhonda
Credentials AA, AAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2023
Last updated Apr 17th, 2023 - about 2 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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