Individual
DR. RONALD R. BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
139 S WALNUT ST, OTTAWA, OH 45875-1817
(419) 523-5737
(419) 523-3839
Mailing address
139 S WALNUT ST, OTTAWA, OH 45875-1817
(419) 523-5737
(419) 523-3839
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
505
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214422
—
OH
Enumeration date
06/27/2006
Last updated
11/14/2007
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