Black, Maureen
Black, Maureen is an sole proprietor health care provider with primary practice located at 5121 S Cottonwood St Im Women And Children Administration 15400-15541, Murray UT 84107-5701. She recently has only one registered license in Hospitals / Women, which is considered as her primary health care specialty. Black, Maureen can be contacted via phone (801) 507-7673.Contact Information
Primary practice address
5121 S Cottonwood St Im Women And Children Administration 15400-15541
Murray UT 84107-5701
Phone: (801) 507-7673
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / Women | 282NW0100X | 290597-3102 | Utah |
Profile Details
| NPI number | 1528431335 |
|---|---|
| LBN Legal business name | Black, Maureen |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2015 |
| Last updated | Nov 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 | 1528431335 | NPPES |
| Utah | MEDICAID | 942854057 |
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