Black, Thomas

Black, Thomas is an individual health care provider with primary practice located at 450 S Landmark Ave , Bloomington IN 47403-5000. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Black, Thomas can be contacted via phone (812) 269-3214.

Contact Information

Primary practice address
450 S Landmark Ave Bloomington IN 47403-5000
Phone: (812) 269-3214
Fax: (317) 520-8200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-188653 Indiana

Profile Details

NPI number 1326701673
LBN Legal business name Black, Thomas
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2021
Last updated Oct 14th, 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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