Jan Black is a Neurology in Sandy, Utah. Jan Black practices all healthcare services and medical treatments related to Neurology. The NPI Number for Jan Black is 1568429967. The last update date is 2020-04-13.
Jan Black's current location address is 90 Albion Village Way, Sandy, Utah. You can contact this provider via phone number 8016193670 and fax number 8016193679. The mailing address for Jan Black is 90 Albion Village Way, Sandy, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jan Black |
|---|---|
| Address | 90 Albion Village Way, Sandy, Utah |
| Phone Number | 8016193670 |
| Fax Number | 8016193679 |
| Sole Proprietor | N |
| Credentials | MS, PT |
NPI Number Detail
| NPI Number | 1568429967 |
|---|---|
| Provider Enumeration Date | 2006-04-28 |
| Last Updated Date | 2020-04-13 |
Provider Mailing Address Detail
| Address | 90 Albion Village Way |
|---|---|
| City | Sandy |
| State | Utah (UT) |
| Post Code | 840704013 |
| Phone Number | 8016193670 |
| Fax Number | 8016193679 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2251N0400X |
| Licence No | 120890-2401 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledg |
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What is the unique 10-digit identifier code issued to Jan Black by the Centers for Medicare & Medicaid Services?
The Jan Black has been assigned the NPI (National Provider Identifier) 1568429967 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Jan Black's physical address?
The Jan Black is physically located at 90 Albion Village Way, in the city of Sandy, UT, with the postal code 840704013.
What is Jan Black's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jan Black's area of specialization is Neurology, and the corresponding taxonomy code that categorizes this field of practice is 2251N0400X.
When did Jan Black receive its 1568429967 assignment?
The Jan Black was assigned its 1568429967 on 2006-04-28, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Jan Black most recently updated or revised?
The details related to Jan Black, including its address, specialty, and other relevant information, were last updated or revised on 2020-04-13.
NPI Number: 1891797999
Address: Po Box 4048, Houston, TX