Black, Shira

Black, Shira is an individual health care provider with primary practice located at 1227 E Rusholme St , Davenport IA 52803-2459. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Black, Shira can be contacted via phone (563) 324-8160.

Contact Information

Primary practice address
1227 E Rusholme St Davenport IA 52803-2459
Phone: (563) 324-8160
Fax: (563) 324-8486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X DO-04709 Iowa
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X DO-04709 Iowa

Profile Details

NPI number 1336467489
LBN Legal business name Black, Shira
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2010
Last updated Apr 28th, 2021 - about 4 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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