Seth Black is a student in an organized health care education training program in Fort Wayne, IN. The provider is 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. Seth Black NPI is 1235898065. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
12227 FISHER RD
FORT WAYNE, IN
ZIP 46818-443
Phone: (260) 564-1202
The enumeration date for this NPI number is 12/9/2021 and was last updated on 12/9/2021.