Buck J Black
Social Worker
100 Saw Mill Rd Ste 3102
Lafayette
, Indiana 47905-5592
Buck J Black
Social Worker
100 Saw Mill Rd Ste 3102
Lafayette
, Indiana 47905-5592
(765) 807-6778
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About
Features
Specialties
- Social Worker
Languages spoken
- English
Location
First Address
- Buck J Black
- 100 Saw Mill Rd Ste 3102
- Lafayette, IN
- Zip : 47905-5592
- Fax : (765) 807-6778
- Phone : (765) 807-6778
Second Address
- Buck J Black
- 100 Saw Mill Rd Ste 3102
- Lafayette, IN
- Zip : 47905-5592
- Fax : (765) 807-6778
- Phone : (765) 807-6778
Reviews
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What type of doctor is Buck J Black
In what state does Buck J Black practice in?
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What is Buck J Black ’s gender?
Is Buck J Black a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 104100000X | Social Worker | 33005111A | IN |
National Provider Identifier
| NPI | 1003081365 |
|---|---|
| Provider Name | Buck J Black |
| First Address | Lafayette, IN 47905-5592 |
| Second Address | Lafayette, IN 47905-5592 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/04/2008 |
| Last Update Date | 12/11/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.