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Contact Information

RACHEL R DUNN BLACK, MD
475 BRUCE STREET
SUITE 700
YREKA, CA96097
 Phone: 530-842-3261
 Fax: 530-842-7899
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RACHEL R DUNN BLACK · (Female)

NPI Number 1588668065
Status Active
Credentials MD
Entity Individual
Enumeration date 06/13/2005
Last updated 08/16/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A60372
  • Other 080090464 RAILROAD MEDICARE NUMBER
Hospital affiliation(s) Not Available
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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