Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Black

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952249377

Ethan Black is a Student in an Organized Health Care Education/Training Program in Columbus, Ohio. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

5100 W Broad St
Columbus, OH 43228-1607
Phone: (614) 544-1745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1952249377
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2026
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address5100 W Broad St, Columbus, OH 43228-1607

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