Black, William S

Black, William S is an individual health care provider with primary practice located at 1006 Ford Ave , Owensboro KY 42301-4677. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Black, William S can be contacted via phone (270) 688-2110.

Contact Information

Primary practice address
1006 Ford Ave Owensboro KY 42301-4677
Phone: (270) 688-2110
Fax: (270) 688-2111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 28129 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28129 Kentucky

Profile Details

NPI number 1063478675
LBN Legal business name Black, William S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Jun 13th, 2023 - 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 1063478675 NPPES
Kentucky MEDICAID 64281298

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