Black, Joseph M
Black, Joseph M is an sole proprietor health care provider with primary practice located at 2550 Nw Edenbower Blvd Suite 100, Roseburg OR 97471-8829. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Black, Joseph M can be contacted via phone (541) 580-5328.Contact Information
Primary practice address
2550 Nw Edenbower Blvd Suite 100
Roseburg OR 97471-8829
Phone: (541) 580-5328
Fax: (541) 727-5360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD20220 | Oregon |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD20220 | Oregon |
Profile Details
| NPI number | 1578524377 |
|---|---|
| LBN Legal business name | Black, Joseph M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Mar 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578524377 | NPPES |
| Oregon | MEDICAID | 151095 |
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