Black, Sara Rebecca

Black, Sara Rebecca is an individual health care provider with primary practice located at 425 Broadway St , Paducah KY 42001-0713. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Black, Sara Rebecca can be contacted via phone (270) 442-7121.

Contact Information

Primary practice address
425 Broadway St Paducah KY 42001-0713
Phone: (270) 442-7121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 288759 Kentucky

Profile Details

NPI number 1831653369
LBN Legal business name Black, Sara Rebecca
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2019
Last updated Jun 17th, 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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