Mary Black
Individual provider Active NPI Case Manager/Care Coordinator · Saint Clair, MI
NPI 1750823456 · NPPES record last updated Nov 11, 2016
Key facts
- NPI
- 1750823456
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1427 Oakland St
Saint Clair, MI 48079-5122 - Phone
- (810) 650-5902
- Fax
- (800) 305-6764
- NPI assigned
- Nov 11, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1427 Oakland St
Saint Clair, MI 48079-5122
Mailing address
1427 Oakland St
Saint Clair, MI 48079-5122
Phone (810) 650-5902
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81-4065881 | Other | MI | FEIN |
Other providers in Saint Clair, MI
- Nicole Marie Ashford
- Katelyn Elizabeth Baumgart
- Beacon of Hope Counseling LLC
- Adele Marie Beischer
- Meg Ehlendt Benson
- Sarina Bondy
- Bormans Inc
- Heather Aiyana Bowns
- Elizabeth Patricia Brieden
- Cassandra Brown
All providers in Saint Clair, MI · Case Manager/Care Coordinator in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.