Black, Steven G
Black, Steven G is an individual health care provider with primary practice located at 4424 S 7Th St , Terre Haute IN 47801-0218. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Black, Steven G can be contacted via phone (812) 299-3937.Contact Information
Primary practice address
4424 S 7Th St
Terre Haute IN 47801-0218
Phone: (812) 299-3937
Fax: (812) 299-8670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2074 | Indiana |
Profile Details
| NPI number | 1063464949 |
|---|---|
| LBN Legal business name | Black, Steven G |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | May 5th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063464949 | NPPES |
| Indiana | Other | DF9692 | MEDICARE RAILROAD CARRIER |
| Indiana | MEDICAID | 100251270 | MEDICARE RAILROAD CARRIER |
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