Black, Ronald R.

Black, Ronald R. is an individual health care provider with primary practice located at 139 S Walnut St , Ottawa OH 45875-1817. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Black, Ronald R. can be contacted via phone (419) 523-5737.

Contact Information

Primary practice address
139 S Walnut St Ottawa OH 45875-1817
Phone: (419) 523-5737
Fax: (419) 523-3839
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 505 Ohio

Profile Details

NPI number 1225065907
LBN Legal business name Black, Ronald R.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Nov 14th, 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 1225065907 NPPES
Ohio MEDICAID 0214422

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