Black, Guy

Black, Guy is an sole proprietor health care provider with primary practice located at 3200 Adeline St , Berkeley CA 94703-2407. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Black, Guy can be contacted via phone (510) 601-0203.

Contact Information

Primary practice address
3200 Adeline St Berkeley CA 94703-2407
Phone: (510) 601-0203
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1598253130
LBN Legal business name Black, Guy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2018
Last updated Apr 30th, 2018 - about 8 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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