Individual provider · Type 1 NPI

Jonas Black, DOO

Student in an Organized Health Care Education/Training Program · Springfield, MA

NPI number 1649022344 Active

Practice location

759 Chestnut St
Springfield, MA 01199-2818

Call (413) 794-0000 Map

Mailing address

7611 Breezy Point Ln Apt 207
Raleigh, NC 27617-6794

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 1649022344

Jonas Black, DOO's National Provider Identifier is 1649022344, issued on Apr 4, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Springfield, MA. The record was last updated on Jul 17, 2025.