Black, Tina

Black, Tina is an sole proprietor health care provider with primary practice located at 210 Sparks Dr , Kelso WA 98626-1818. She recently has only one registered license in Nursing Service Related Providers / Doula, which is considered as her primary health care specialty. Black, Tina can be contacted via phone (360) 431-8275.

Contact Information

Primary practice address
210 Sparks Dr Kelso WA 98626-1818
Phone: (360) 431-8275
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Doula 374J00000X

Profile Details

NPI number 1083982045
LBN Legal business name Black, Tina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2011
Last updated Dec 6th, 2011 - about 13 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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