Black, Amy
Black, Amy is an sole proprietor health care provider with primary practice located at 10420 Reva Rd N , Chunchula AL 36521-3330. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Black, Amy can be contacted via phone (251) 490-5884.Contact Information
Primary practice address
10420 Reva Rd N
Chunchula AL 36521-3330
Phone: (251) 490-5884
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 1-071140 | Alabama |
Profile Details
| NPI number | 1780239160 |
|---|---|
| LBN Legal business name | Black, Amy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2019 |
| Last updated | Aug 2nd, 2019 - about 7 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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