Black, Samuel

Black, Samuel is an individual health care provider with primary practice located at 22 S Greene St Room N3E09, Baltimore MD 21201-1544. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Black, Samuel can be contacted via phone (410) 328-6110.

Contact Information

Primary practice address
22 S Greene St Room N3E09 Baltimore MD 21201-1544
Phone: (410) 328-6110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D87167 Maryland

Profile Details

NPI number 1194188094
LBN Legal business name Black, Samuel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2016
Last updated May 20th, 2019 - about 7 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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