Black, Thomas C

Black, Thomas C is an individual health care provider with primary practice located at 800 Howard Ave Yale Physicians Bldg, New Haven CT 06519-1369. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Black, Thomas C can be contacted via phone (203) 785-2140.

Contact Information

Primary practice address
800 Howard Ave Yale Physicians Bldg New Haven CT 06519-1369
Phone: (203) 785-2140
Fax: (203) 785-6414
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 003424 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent 364SP0807X 003424 Connecticut

Profile Details

NPI number 1417078122
LBN Legal business name Black, Thomas C
Credentials APRN, MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
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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