Black, Denise

Black, Denise is an individual health care provider with primary practice located at 327 College Ave , Santa Rosa CA 95401-5117. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Black, Denise can be contacted via phone (707) 568-2800.

Contact Information

Primary practice address
327 College Ave Santa Rosa CA 95401-5117
Phone: (707) 568-2800
Fax: (707) 568-2804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X PT35099 California

Profile Details

NPI number 1194029371
LBN Legal business name Black, Denise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2011
Last updated Jan 3rd, 2011 - about 15 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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