Black, Robert H
Black, Robert H is an sole proprietor health care provider with primary practice located at 3318 Bardstown Rd , Louisville KY 40218-4602. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Black, Robert H can be contacted via phone (502) 456-5353.Contact Information
Primary practice address
3318 Bardstown Rd
Louisville KY 40218-4602
Phone: (502) 456-5353
Fax: (502) 456-4266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4519 | Kentucky |
Profile Details
| NPI number | 1073614491 |
|---|---|
| LBN Legal business name | Black, Robert H |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Jul 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073614491 | NPPES |
| Kentucky | MEDICAID | 85002293 |
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