Christine E Black
Obstetrician & Gynecologist
500 S 11th Ave Ste 204
Pocatello
, Idaho 83201-4878
Christine E Black
Obstetrician & Gynecologist
500 S 11th Ave Ste 204
Pocatello
, Idaho 83201-4878
(208) 232-2408
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Christine E Black
- 500 S 11th Ave Ste 400
- Pocatello, ID
- Zip : 83201-4880
- Fax : (208) 232-2408
- Phone : (208) 232-7862
Second Address
- Christine E Black
- 500 S 11th Ave Ste 204
- Pocatello, ID
- Zip : 83201-4878
- Phone : (208) 232-3655
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | DR.0056998 | CO |
National Provider Identifier
| NPI | 1013282169 |
|---|---|
| Provider Name | Christine E Black |
| First Address | Pocatello, ID 83201-4880 |
| Second Address | Pocatello, ID 83201-4878 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/03/2012 |
| Last Update Date | 19/05/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.