Black, Thomas Houston

Black, Thomas Houston is an sole proprietor health care provider with primary practice located at 1145 Indianapolis Road , Greencastle IN 46135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Black, Thomas Houston can be contacted via phone (765) 653-8453.

Contact Information

Primary practice address
1145 Indianapolis Road Greencastle IN 46135
Phone: (765) 653-8453
Fax: (765) 653-8493
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01024692 Indiana

Profile Details

NPI number 1851474167
LBN Legal business name Black, Thomas Houston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Dec 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851474167 NPPES
Indiana MEDICAID 100210870A
Indiana Other 1851474167
Indiana Other 1790868016
Indiana Other CM7380
Indiana Other 013568191

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