Black, William R

Black, William R is an individual health care provider with primary practice located at 1313 S Range Line Rd , Joplin MO 64801-5588. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Black, William R can be contacted via phone (417) 623-2207.

Contact Information

Primary practice address
1313 S Range Line Rd Joplin MO 64801-5588
Fax: (417) 623-0342
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 106159 Missouri

Profile Details

NPI number 1326121211
LBN Legal business name Black, William R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Feb 10th, 2012 - about 14 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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