Dr Evan G Black Llc in South Jordan - Neurological Surgery
Dr Evan G Black Llc - NPI 1902074115
Dr Evan G Black Llc is a Neurological Surgery in South Jordan, Utah. Dr Evan G Black Llc practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for Dr Evan G Black Llc is 1902074115. The last update date is 2009-02-12.
Dr Evan G Black Llc's current location address is Po Box 95970, South Jordan, Utah. You can contact this provider via phone number 8013529500 and fax number 8013529502. The mailing address for Dr Evan G Black Llc is Po Box 95970, South Jordan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dr Evan G Black Llc |
|---|---|
| Address | Po Box 95970, South Jordan, Utah |
| Phone Number | 8013529500 |
| Fax Number | 8013529502 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC MAN |
|---|---|
| Authorized Official Name | Dawson Jennifer |
| Telephone Number | 8014085702 |
NPI Number Detail
| NPI Number | 1902074115 |
|---|---|
| Provider Enumeration Date | 2008-02-11 |
| Last Updated Date | 2009-02-12 |
Provider Mailing Address Detail
| Address | Po Box 95970 |
|---|---|
| City | South Jordan |
| State | Utah (UT) |
| Post Code | 840950970 |
| Phone Number | 8013529500 |
| Fax Number | 8013529502 |
Provider's Primary Taxonomy Detail
| Speciality | Neurological Surgery |
|---|---|
| Taxonomy | 207T00000X |
| Licence No | 187597-1205 |
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Definition: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 130012929 | UT | RAILRAOD MEDICARE | |
| 1902074115 | UT | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dr Evan G Black Llc?
The Dr Evan G Black Llc has been issued the NPI (National Provider Identifier) 1902074115 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Dr Evan G Black Llc?
The Dr Evan G Black Llc is situated at Po Box 95970, in the city of South Jordan, state of UT, with the zip code 840950970.
What is Dr Evan G Black Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dr Evan G Black Llc is Neurological Surgery, and the taxonomy classification code that categorizes this area of expertise is 207T00000X.
On what date did the Dr Evan G Black Llc receive its 1902074115 assignment from the Centers for Medicare & Medicaid Services?
The Dr Evan G Black Llc was assigned its 1902074115 by the Centers for Medicare & Medicaid Services on 2008-02-11.
When was the information related to Dr Evan G Black Llc most recently updated or refreshed?
The details pertaining to the Dr Evan G Black Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-02-12.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC