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SETH BLACK
NPI 1235898065
Student in an Organized Health Care Education/Training Program in Fort Wayne, IN

Active since December 09, 2021
12227 FISHER RD, FORT WAYNE, IN 46818(260) 564-1202 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Seth Black NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SETH BLACK (NPI 1235898065) is an individual student in an organized health care education/training program in Fort Wayne, Indiana and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1235898065
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSETH BLACK
Location Address12227 FISHER RDFort Wayne, IN 46818-9443
Mailing Address12227 Fisher RdFort Wayne, IN 46818-9443
Phone(260) 564-1202
Sole ProprietorYes
Enumeration DateDecember 9, 2021
NPPES CertifiedDecember 9, 2021
✔ NPI 1235898065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
12227 FISHER RD, Fort Wayne, IN 46818
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Seth Black's NPI number?

The NPI number for Seth Black is 1235898065. It was assigned to this individual provider in the NPPES registry on December 9, 2021.

Where is Seth Black located?

Seth Black practices at 12227 Fisher Rd, Fort Wayne, IN 46818. The listed phone number is (260) 564-1202.

What is Seth Black's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Seth Black was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.