Individual
AUSTEN MICHAEL BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT, CHW
Contact information
Practice address
2558 E 450 N, MARION, IN 46952-9679
(765) 661-3733
Mailing address
2558 E 450 N, MARION, IN 46952-9679
(765) 661-3733
(765) 661-3733
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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