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Contact Information

MARY BLACK
1058 COLLEGE DR
NEW TOWN, ND58763-9112
 Phone: 701-627-4750
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MARY BLACK · (Female)

NPI # 1760997431
Status Active
Credentials
Entity Individual
Enumeration date 12/04/2017
Last updated 12/04/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • ND License # R28731
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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