Black, Edna M

Black, Edna M is an individual health care provider with primary practice located at 201 W Main St Suite C, Union City TN 38261-2131. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Black, Edna M can be contacted via phone (731) 885-8810.

Contact Information

Primary practice address
201 W Main St Suite C Union City TN 38261-2131
Phone: (731) 885-8810
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1417096785
LBN Legal business name Black, Edna M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - about 19 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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