Black, Todd A

Black, Todd A is an sole proprietor health care provider with primary practice located at 546 Longfield Ave Ste 345 , Louisville KY 40215-2930. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Black, Todd A can be contacted via phone (502) 447-2222.

Contact Information

Primary practice address
546 Longfield Ave Ste 345 Louisville KY 40215-2930
Fax: (502) 409-8042
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4451 Kentucky

Profile Details

NPI number 1073658688
LBN Legal business name Black, Todd A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Mar 17th, 2018 - about 8 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 1073658688 NPPES
Kentucky Other 1285957035 WELLNESS CHIROPRACTIC

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