Black, Warren Benjamin
Black, Warren Benjamin is an individual health care provider with primary practice located at 268 Stillwater Ave , Bangor ME 04401-3945. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Black, Warren Benjamin can be contacted via phone (207) 973-6100.Contact Information
Primary practice address
268 Stillwater Ave
Bangor ME 04401-3945
Phone: (207) 973-6100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | CNP141098 | Maine |
Profile Details
| NPI number | 1932502002 |
|---|---|
| LBN Legal business name | Black, Warren Benjamin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2014 |
| Last updated | Oct 3rd, 2014 - about 11 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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