Black, Rodney Wayne

Black, Rodney Wayne is an sole proprietor health care provider with primary practice located at 6300 Ehrhardt Ave , Sacramento CA 95823-5637. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Case Management, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Black, Rodney Wayne can be contacted via phone (916) 718-3626.

Contact Information

Primary practice address
6300 Ehrhardt Ave Sacramento CA 95823-5637
Phone: (916) 718-3626
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Case Management 251B00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1003678822
LBN Legal business name Black, Rodney Wayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2024
Last updated Jan 26th, 2024 - about 2 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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