Doctor Name: | JAMES BLACK |
NPI Number: | 1699963793 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 35090617 |
Business Practice Address: | 11100 Euclid Ave Cleveland, OH - 44106 |
Business Phone Number: | 2168441000 |
Business Fax Number: | |
Mailing Address: | 3605 Warrensville Center Road, 1st Floor SHAKER HTS |
State: | OH |
Postal Code: | 44122 |
Phone Number: | 2162866260 |
Fax Number: | 2162866341 |
NPI Enumeration Date: | 10/15/2007 |
NPI Last Update Date: | 12/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146N00000X |
License Number: | 35090617 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Basic |
Taxonomy Specialization: | |
Taxonomy Definition: | A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |