Black, Thomas Robert

Black, Thomas Robert is an individual health care provider with primary practice located at 168 Denslow Rd , East Longmeadow MA 01028-3188. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist, which is considered as his primary health care specialty. Black, Thomas Robert can be contacted via phone (413) 526-9945.

Contact Information

Primary practice address
168 Denslow Rd East Longmeadow MA 01028-3188
Phone: (413) 526-9945
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist 224Y00000X

Profile Details

NPI number 1942559463
LBN Legal business name Black, Thomas Robert
Credentials ACSM RCEP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2012
Last updated Aug 30th, 2012 - about 12 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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