Black, Chelise

Black, Chelise is an individual health care provider with primary practice located at 3590 W 9000 S Ste 240 , West Jordan UT 84088-8864. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Black, Chelise can be contacted via phone (801) 964-3697.

Contact Information

Primary practice address
3590 W 9000 S Ste 240 West Jordan UT 84088-8864
Phone: (801) 964-3697
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5645223-4405 Utah

Profile Details

NPI number 1952811515
LBN Legal business name Black, Chelise
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2017
Last updated Oct 9th, 2017 - about 8 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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