Black, Corey

Black, Corey is an individual health care provider with primary practice located at 13700 St Francis Blvd Ste 100 , Midlothian VA 23114-3222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Black, Corey can be contacted via phone (804) 594-7300.

Contact Information

Primary practice address
13700 St Francis Blvd Ste 100 Midlothian VA 23114-3222
Fax: (804) 594-7410
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101271663 Virginia

Profile Details

NPI number 1457398422
LBN Legal business name Black, Corey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Nov 27th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457398422 NPPES
Virginia Other 0101271663 STATE LICENSE

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