Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK JOHN BLACK
Active Sole ProprietorDEREK JOHN BLACK is a Case Manager healthcare provider located in LOGAN, Utah. NPI 1679231237 is currently active in the NPPES registry. Verify at CMS.
Case Manager · LOGAN, UT
Registration Details
- NPI Number
- 1679231237
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2021 (4.7320153196371 yrs)
- Last Updated
- Dec 1, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
475 W 1465 N APT 103LOGAN, UT, 843416619Browse UT providers · Browse ZIP 84341
- Phone
- 4358513813
- Primary Specialty
-
Case Manager
171M00000X
Other Case Manager Providers in LOGAN, UT
| Name | Credential | NPI |
|---|---|---|
| APRIL MICHELLE DUNAFON | — | 1235372160 |
| KAREN IRENE MAYNE | — | 1023310612 |
| SUSIE SCOTT | MEDICAL ASSISTANT | 1205139789 |
| MRS. DEBRA MOOSMAN | — | 1306149885 |
| RUSSELL WILLIAM LUNDBERG | — | 1881997120 |
| MISS MEGAN BAGWELL | — | 1376846659 |
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.