Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ROBERT E BLACK, ATC
ActiveMR. ROBERT E BLACK, ATC is a Athletic Trainer healthcare provider located in BLOOMINGTON, Indiana. NPI 1053301887 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1053301887
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2005 (20.622813474735 yrs)
- Last Updated
- Jul 8, 2007
- License
-
36000062A (IN)
Practice Information
- Address
-
1001 E 17TH STBLOOMINGTON, IN, 474081590Browse IN providers · Browse ZIP 47408
- Phone
- 8128562225
- Fax
- 8128551810
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BLOOMINGTON, IN
| Name | Credential | NPI |
|---|---|---|
| PROF. JOHN WILLIAM SCHRADER | HSD, LAT, ATC | 1306830849 |
| MR. JOSEPH SCOTT LUEKEN | ATC | 1114915873 |
| ANDREA LYNN ROTH | ATC | 1437147196 |
| MR. WALTER K SMITH | MED, LAT, ATC | 1417945122 |
| MR. ADAM BRIAN CLEMENS | ATC | 1891784351 |
| RUTH ANN ALLEN | ATC | 1922099951 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.