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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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