Black, Lou Anne

Black, Lou Anne is an individual health care provider with primary practice located at 111 S Railroad Ave , Dunn NC 28334-4853. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Black, Lou Anne can be contacted via phone (910) 892-0027.

Contact Information

Primary practice address
111 S Railroad Ave Dunn NC 28334-4853
Phone: (910) 892-0027
Fax: (910) 892-0029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2083 North Carolina

Profile Details

NPI number 1639344666
LBN Legal business name Black, Lou Anne
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2008
Last updated Apr 12th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639344666 NPPES
North Carolina MEDICAID 720777Y
North Carolina Other 0777Y

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