National Provider Identifier Database

JAMIE BLACK, PA-C – NPI #1386695419
Surgical


Contact Information

JAMIE BLACK, PA-C
1720 NICHOLASVILLE RD
SUITE 502
LEXINGTON, KY40503-1475
Phone: 859-277-7129
Fax: 859-277-9613
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X

* Indicates primary specialty

NPI Profile & details for JAMIE BLACK

NPI Number 1386695419
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: PA690
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.

Reviews for JAMIE BLACK, PA-C

There are currently no reviews for JAMIE BLACK, PA-C


NPIdb - Home
v2.201