Black, Robert Lee

Black, Robert Lee is an individual health care provider with primary practice located at 513 Brookwood Blvd Suite 50, Birmingham AL 35209-6862. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Black, Robert Lee can be contacted via phone (205) 877-2761.

Contact Information

Primary practice address
513 Brookwood Blvd Suite 50 Birmingham AL 35209-6862
Phone: (205) 877-2761
Fax: (205) 877-2399
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 7090 Alabama

Profile Details

NPI number 1891804969
LBN Legal business name Black, Robert Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated May 22nd, 2008 - about 18 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 1891804969 NPPES
Alabama MEDICAID 009960780
Alabama Other 51503324
Alabama Other 631266801 0012
Alabama Other C73052
Alabama Other 110224926

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