Black, William Edward
Black, William Edward is an sole proprietor health care provider with primary practice located at 1612 N 2Nd St , Harrisburg PA 17102-2438. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Black, William Edward can be contacted via phone (717) 236-7722.Contact Information
Primary practice address
1612 N 2Nd St
Harrisburg PA 17102-2438
Phone: (717) 236-7722
Fax: (717) 236-4289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS-025689L | Pennsylvania |
Profile Details
| NPI number | 1902935349 |
|---|---|
| LBN Legal business name | Black, William Edward |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 3rd, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902935349 | NPPES |
| Pennsylvania | Other | DS-025689L | STATE DENTAL LISCENSE |
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