Individual
AUSTEN MICHAEL BLACK
Active
Individual
AUSTEN MICHAEL BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT, CHW
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
183700000X
Pharmacy Technician
67043852A
IN
183700000X
Pharmacy Technician
R-26201001
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30286816
CPHT
IN
Enumeration date
06/26/2025
Last updated
04/02/2026
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