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Contact Information

EDDIE J BLACK, D.C.
510 N BROADWAY ST
CLEVELAND, OK74020-2206
 Phone: 918-358-3509
 Fax: 918-358-3026
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

111NN0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for EDDIE J BLACK · (Male)

NPI Number 1639293087
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 03/19/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 1611
  • OK Other 1611 TYPE I
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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