Individual provider · Type 1 NPI
Seth Black
Student in an Organized Health Care Education/Training Program · Fort Wayne, IN
NPI number
1235898065
Active
Practice location
12227 Fisher Rd
Fort Wayne, IN 46818-9443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1235898065
Seth Black's National Provider Identifier is 1235898065, issued on Dec 9, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 9, 2021.