Black, Seth

Black, Seth is an sole proprietor health care provider with primary practice located at 12227 Fisher Rd , Fort Wayne IN 46818-9443. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Black, Seth can be contacted via phone (260) 564-1202.

Contact Information

Primary practice address
12227 Fisher Rd Fort Wayne IN 46818-9443
Phone: (260) 564-1202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1235898065
LBN Legal business name Black, Seth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2021
Last updated Dec 9th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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