Black, Brandon Michael
Black, Brandon Michael is an sole proprietor health care provider with primary practice located at 1001 Menaul Blvd Ne , Albuquerque NM 87107-1642. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Nursing Service Providers / Flight, Nursing Service Providers / Emergency. Nursing Service Providers / Emergency is his primary health care specialty. Black, Brandon Michael can be contacted via phone (575) 621-8918.Contact Information
Primary practice address
1001 Menaul Blvd Ne
Albuquerque NM 87107-1642
Phone: (575) 621-8918
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | RN-90590 | New Mexico |
| Nursing Service Providers / Flight | 163WF0300X | RN-90590 | New Mexico |
| Nursing Service Providers / Emergency | 163WE0003X | RN-90590 | New Mexico |
Profile Details
| NPI number | 1740163922 |
|---|---|
| LBN Legal business name | Black, Brandon Michael |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2025 |
| Last updated | Jul 28th, 2025 - 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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