Black, William L
Black, William L is an individual health care provider with primary practice located at 1485 Chester Blvd , Richmond IN 47374-1919. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Black, William L can be contacted via phone (765) 966-5527.Contact Information
Primary practice address
1485 Chester Blvd
Richmond IN 47374-1919
Phone: (765) 966-5527
Fax: (765) 966-5527
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01042757A | Indiana |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01042757A | Indiana |
Profile Details
| NPI number | 1609800598 |
|---|---|
| LBN Legal business name | Black, William L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Mar 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609800598 | NPPES |
| Ohio | MEDICAID | 3160510 | |
| Ohio | Other | 000000681708 | |
| Ohio | MEDICAID | 201003480 |
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