Black, Geoffrey Wayne

Black, Geoffrey Wayne is an individual health care provider with primary practice located at 29369 Auberry Rd Suite 102, Prather CA 93651-9784. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Black, Geoffrey Wayne can be contacted via phone (559) 855-5390.

Contact Information

Primary practice address
29369 Auberry Rd Suite 102 Prather CA 93651-9784
Phone: (559) 855-5390
Fax: (559) 855-5395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A72268 California

Profile Details

NPI number 1821000787
LBN Legal business name Black, Geoffrey Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Jul 8th, 2007 - about 16 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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