NPI 1053424234 CHARLES GLENN BLACK PT SEVERN MD. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Charles Glenn Black - NPI: 1053424234

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: CHARLES GLENN BLACK
NPI Number: 1053424234
Entity Type Code: Individual (1)
Gender: M
Credentials: PT
License Number: 18275
Business Practice Address: 1231 Colonial Park Dr
Severn, MD - 211444417
Business Phone Number: 4105701446
Business Fax Number:
Mailing Address: 1231 Colonial Park Dr,
SEVERN
State: MD
Postal Code: 211444417
Phone Number: 4105701446
Fax Number: 4107217580
NPI Enumeration Date: 08/15/2006
NPI Last Update Date: 05/26/2009
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 225100000X
License Number: 18275
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MD
Taxonomy Type: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Classification: Physical Therapist
Taxonomy Specialization:
Taxonomy Definition:
(1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT


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