Individual provider · Type 1 NPI

Caleb Gerald Black, MD

Student in an Organized Health Care Education/Training Program · Beavercreek, OH

NPI number 1114714128 Active

Practice location

2145 N Fairfield Rd
Beavercreek, OH 45431-2580

Call (937) 558-3900 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114714128

Caleb Gerald Black, MD's National Provider Identifier is 1114714128, issued on Apr 22, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Beavercreek, OH. The record was last updated on Apr 22, 2025.