Earl Black
MD | Pediatrics | Male
Earl Black, MD is a Macomb, Michigan based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Earl Black is
46591 Romeo Plank Rd, Macomb, Michigan - 48044-5742. He can be contacted on phone at
586-443-4950 and fax number 586-443-4980.
Earl Black is a sole proprietor of his business.
NPI number (Unique professional ID) for Earl Black is
1881681732 which was assigned by NPPES on 05 Oct, 2005 and it was last updated on 08 Jul, 2007.
Earl Black license number is
4301023839 for Pediatrics (208000000X) in Michigan.
Earl Black is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Earl Black basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Earl Black |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Earl Black address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 46591 Romeo Plank Rd
Macomb, MI, 48044-5742
United States |
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| Phone Number : | 586-443-4950 |
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| Fax Number : | 586-443-4980 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1881681732 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Oct, 2005 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Earl Black are as mentioned. Primary taxonomy code for Earl Black, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4301023839 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Earl Black such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2880541 | MEDICAID | MI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 43800 Garfield Rd
Clinton Twp, MI, 48038-1136
United States |
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| Phone Number : | 800-848-0202 |
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| Fax Number : | 586-226-6949 |
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Business Location:
Patients can refer following map for directions to
Earl Black practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.