Earl Black in Clinton Twp - Pediatrics

Earl Black - NPI 1881681732

Earl Black is a Pediatrics in Clinton Twp, Michigan. Earl Black practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Earl Black is 1881681732. The last update date is 2007-07-08.

Earl Black's current location address is 43800 Garfield Rd, Clinton Twp, Michigan. You can contact this provider via phone number 8008480202 and fax number 5862266949. The mailing address for Earl Black is 43800 Garfield Rd, Clinton Twp, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Earl Black
Address 43800 Garfield Rd, Clinton Twp, Michigan
Phone Number 8008480202
Fax Number 5862266949
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1881681732
Provider Enumeration Date 2005-10-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 43800 Garfield Rd
City Clinton Twp
State Michigan (MI)
Post Code 480381136
Phone Number 8008480202
Fax Number 5862266949

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 4301023839
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2880541 MI --

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FAQs about Earl Black

What is the unique 10-digit identification code issued to Earl Black by the Centers for Medicare & Medicaid Services?

The Earl Black has been assigned the NPI (National Provider Identifier) 1881681732 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Earl Black is located?

The Earl Black is situated at the following address: 43800 Garfield Rd, Clinton Twp, MI, 480381136.

What is the Earl Black's area of specialization and corresponding taxonomy classification?

The Earl Black's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.

On what date was the 1881681732 assigned to Earl Black?

The Earl Black was issued its 1881681732 on 2005-10-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Earl Black last refreshed?

The information related to the Earl Black, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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