Black, Roland Lee

Black, Roland Lee is an sole proprietor health care provider with primary practice located at 1585 S Smithville Rd , Dayton OH 45410-3242. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Black, Roland Lee can be contacted via phone (937) 253-1543.

Contact Information

Primary practice address
1585 S Smithville Rd Dayton OH 45410-3242
Phone: (937) 253-1543
Fax: (937) 253-5513
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 482 Ohio

Profile Details

NPI number 1922176759
LBN Legal business name Black, Roland Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Jul 8th, 2007 - about 19 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 1922176759 NPPES
Ohio Other 172108394109 HUMANA
Ohio Other 000000007157 HUMANA

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