Black, Gregory A

Black, Gregory A is an individual health care provider with primary practice located at 4913 Harroun Rd , Sylvania OH 43560-2197. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Black, Gregory A can be contacted via phone (419) 885-4471.

Contact Information

Primary practice address
4913 Harroun Rd Sylvania OH 43560-2197
Phone: (419) 885-4471
Fax: (419) 885-0212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36002260 Ohio
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 36.002260 Ohio

Profile Details

NPI number 1538162375
LBN Legal business name Black, Gregory A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Oct 3rd, 2022 - about 4 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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