Black, Robert E

Black, Robert E is an individual health care provider with primary practice located at 1001 E 17Th St , Bloomington IN 47408-1590. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Black, Robert E can be contacted via phone (812) 856-2225.

Contact Information

Primary practice address
1001 E 17Th St Bloomington IN 47408-1590
Phone: (812) 856-2225
Fax: (812) 855-1810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 36000062A Indiana

Profile Details

NPI number 1053301887
LBN Legal business name Black, Robert E
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jul 8th, 2007 - about 18 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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