Black, William R

Black, William R is an individual health care provider with primary practice located at 825 W Henderson St , Salisbury NC 28144-2725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Black, William R can be contacted via phone (704) 636-5542.

Contact Information

Primary practice address
825 W Henderson St Salisbury NC 28144-2725
Phone: (704) 636-5542
Fax: (704) 636-5142
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 19313 North Carolina

Profile Details

NPI number 1922006485
LBN Legal business name Black, William R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jan 19th, 2010 - about 16 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 1922006485 NPPES
North Carolina Other 15968 BC/BS
North Carolina Other 408113860 BC/BS
North Carolina MEDICAID 8915968 BC/BS

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