Black, Mike

Black, Mike is an sole proprietor health care provider with primary practice located at 12391 S 4000 W #210, Riverton UT 84096-7012. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Black, Mike can be contacted via phone (801) 446-0990.

Contact Information

Primary practice address
12391 S 4000 W #210 Riverton UT 84096-7012
Phone: (801) 446-0990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9255052-2401 Utah

Profile Details

NPI number 1326436007
LBN Legal business name Black, Mike
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2015
Last updated Jan 2nd, 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.

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