Black, Michael

Black, Michael is an individual health care provider with primary practice located at 302 Ne 14Th St , Leon IA 50144-1206. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Black, Michael can be contacted via phone (641) 446-2383.

Contact Information

Primary practice address
302 Ne 14Th St Leon IA 50144-1206
Phone: (641) 446-2383
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A164712 Iowa

Profile Details

NPI number 1598439713
LBN Legal business name Black, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2021
Last updated May 13th, 2022 - about 4 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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