Black, Iain Alan
Black, Iain Alan is an individual health care provider with primary practice located at 13943 N 91St Ave Building I, Peoria AZ 85381-3629. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Black, Iain Alan can be contacted via phone (623) 815-2690.Contact Information
Primary practice address
13943 N 91St Ave Building I
Peoria AZ 85381-3629
Phone: (623) 815-2690
Fax: (623) 815-2689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 4339 | Arizona |
Profile Details
| NPI number | 1376798421 |
|---|---|
| LBN Legal business name | Black, Iain Alan |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2008 |
| Last updated | Feb 19th, 2015 - about 11 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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