Eddie J Black is a Neurology in Cleveland, Oklahoma. Eddie J Black practices all healthcare services and medical treatments related to Neurology. The NPI Number for Eddie J Black is 1639293087. The last update date is 2007-07-08.
Eddie J Black's current location address is 510 N Broadway St, Cleveland, Oklahoma. You can contact this provider via phone number 9183583509 and fax number 9183583026. The mailing address for Eddie J Black is 510 N Broadway St, Cleveland, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eddie J Black |
|---|---|
| Address | 510 N Broadway St, Cleveland, Oklahoma |
| Phone Number | 9183583509 |
| Fax Number | 9183583026 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1639293087 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 510 N Broadway St |
|---|---|
| City | Cleveland |
| State | Oklahoma (OK) |
| Post Code | 740202206 |
| Phone Number | 9183583509 |
| Fax Number | 9183583026 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 111Nn0400X |
| Licence No | 1611 |
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Definition: Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1611 | OK | TYPE I |
Post Comment/ Review Below
What is the unique identification code assigned to Eddie J Black by the Centers for Medicare & Medicaid Services?
The Eddie J Black has been issued the NPI (National Provider Identifier) 1639293087. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Eddie J Black?
The Eddie J Black is physically situated at 510 N Broadway St, in the city of Cleveland, state of OK, with the postal code 740202206.
What is Eddie J Black's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Eddie J Black is Neurology, and the taxonomy code that classifies this field of practice is 111Nn0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1639293087 to Eddie J Black?
The Eddie J Black received its 1639293087 assignment from the Centers for Medicare & Medicaid Services on 2007-03-19.
As of what date was the information pertaining to Eddie J Black, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Eddie J Black, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.