Black, Marcus L.

Black, Marcus L. is an individual health care provider with primary practice located at 519 Metairie Rd , Metairie LA 70005-4311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Black, Marcus L. can be contacted via phone (504) 324-9024.

Contact Information

Primary practice address
519 Metairie Rd Metairie LA 70005-4311
Phone: (504) 324-9024
Fax: (504) 373-6807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 05701R Louisiana

Profile Details

NPI number 1396700613
LBN Legal business name Black, Marcus L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Mar 4th, 2013 - about 13 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 1396700613 NPPES
Louisiana MEDICAID 1326313

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