National Provider Identifier Database

DR EVAN G BLACK LLC
Neurological Surgery

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.


Contact Information

DR EVAN G BLACK LLC
5323 WOODROW ST # 120W
SUITE 201
MURRAY, UT84107-5841
Phone: 801-261-4711
Fax: 801-261-4769
Website:
Specialty Taxonomy Code
* Neurological Surgery 207T00000X

* Indicates primary specialty

NPI Profile & details for DR EVAN G BLACK LLC

NPI Number 1902074115
Legal business name
LBN
DR EVAN G BLACK LLC
Authorized official JENNIFER DAWSON - (CLINIC MANAGER)
Entity Organization
Organization subpart No
Enumeration date 02/11/2008
Last updated 02/12/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 187597-1205
  • UT Medicaid: 1902074115
  • UT Other: 130012929 RAILRAOD MEDICARE

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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