Derek John Black
Case Manager/Care Coordinator · Logan, UT
Practice location
475 W 1465 N Apt 103Logan, UT 84341-6619
- Phone
- (435) 851-3813
NPI record
- NPI
- 1679231237
- Entity type
- Individual (Type 1)
- Enumeration date
- December 1, 2021
- Last updated
- December 1, 2021
- Certified
- December 1, 2021
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Case Manager/Care Coordinator Primary | 171M00000X |
— | — |
About Derek Black
Derek John Black is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 475 W 1465 N Apt 103, Logan, UT 84341-6619. The NPI number 1679231237 was assigned on December 1, 2021 and the record was last updated on December 1, 2021.
Frequently asked questions
What is the NPI number of Derek John Black?
The NPI number is 1679231237.
What is the phone number of Derek Black?
The phone number listed for the practice location is (435) 851-3813.
Where is Derek Black located?
475 W 1465 N Apt 103, Logan, UT 84341-6619.
What is the taxonomy code for Derek Black?
The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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