Black, Sara H
Black, Sara H is an individual health care provider with primary practice located at 4630 Highway 17 , Murrells Inlet SC 29576-5016. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Black, Sara H can be contacted via phone (843) 357-2299.Contact Information
Primary practice address
4630 Highway 17
Murrells Inlet SC 29576-5016
Phone: (843) 357-2299
Fax: (843) 357-2720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 776 | South Carolina |
Profile Details
| NPI number | 1699882845 |
|---|---|
| LBN Legal business name | Black, Sara H |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jan 16th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699882845 | NPPES |
| South Carolina | MEDICAID | 1578PA |
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