Black, Thomas C

Black, Thomas C is an individual health care provider with primary practice located at 1010 Carondelet Dr Suite 103, Kansas City MO 64114-4821. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Black, Thomas C can be contacted via phone (816) 942-8008.

Contact Information

Primary practice address
1010 Carondelet Dr Suite 103 Kansas City MO 64114-4821
Phone: (816) 942-8008
Fax: (816) 942-5314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X R3026 Missouri

Profile Details

NPI number 1689691180
LBN Legal business name Black, Thomas C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1689691180 NPPES
Other 04192051 BLUE CROSS BLUE SHIELD

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