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Contact Information

THOMAS H BLACK III, MD
1145 INDIANAPOLIS ROAD
GREENCASTLE, IN46135
 Phone: 765-653-8453
 Fax: 765-653-8493
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for THOMAS H BLACK III · (Male)

NPI # 1851474167
Status Active
Credentials MD
Entity Individual
Enumeration date 10/23/2006
Last updated 12/20/2021 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01024692
  • IN Medicaid 100210870A
  • IN Other 1790868016 GROUP NPI
  • IN Other CM7380 GROUP PIN
  • IN Other 1851474167 NPI
  • IN Other 013568191 RAILROAD MEDICARE
Hospital affiliation(s)
  • HENDRICKS REGIONAL HEALTH - (Acute Care)
    1000 E MAIN ST
    DANVILLE, IN 46122
  • PUTNAM COUNTY HOSPITAL - (Critical Access)
    1542 S BLOOMINGTON ST
    GREENCASTLE, IN 46135
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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