Black, William L

Black, William L is an individual health care provider with primary practice located at 1485 Chester Blvd , Richmond IN 47374-1919. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Black, William L can be contacted via phone (765) 966-5527.

Contact Information

Primary practice address
1485 Chester Blvd Richmond IN 47374-1919
Phone: (765) 966-5527
Fax: (765) 966-5527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01042757A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01042757A Indiana

Profile Details

NPI number 1609800598
LBN Legal business name Black, William L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Mar 11th, 2024 - about last year

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 1609800598 NPPES
Ohio MEDICAID 3160510
Ohio Other 000000681708
Ohio MEDICAID 201003480

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