National Provider Identifier Database

CATHERINE R BLACK
Family


Contact Information

CATHERINE R BLACK
280 RIVER PARK DR
SUITE 200
PROVO, UT84604-5764
Phone: 801-223-4860
Fax: 801-371-8993
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for CATHERINE R BLACK

NPI Number 1366623191
Credentials
Entity Individual
Enumeration date 11/20/2007
Last updated 03/21/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • UT License #: 198805-4405
Hospital affiliation n/a

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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