Mrs. Michelle L Black, ATC
Specialist/Technologist, Athletic Trainer in Burlington, Vermont
1295879351- Practice location
- 431 Pine St Ste G01, Burlington, VT 05401-4726
- Phone
- 802-272-7383
- Fax
- —
- Last updated
- July 11, 2016
Michelle Lee Black is a Specialist/Technologist, Athletic Trainer based in Burlington, VT. Michelle Lee Black practices in Burlington, VT and has the professional credentials of ATC. The NPI Number for Michelle Lee Black is 1295879351 and holds a License No. 104-0000139 (VT). The current practice location address for Michelle Lee Black is 431 Pine St Ste G01, Burlington, VT 05401-4726 and can be reached out via phone at 802-272-7383.
Provider Profile Details
- NPI Number
- 1295879351
- Provider Name
- Michelle Lee Black
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 431 Pine St Ste G01, Burlington, VT 05401-4726
- Phone Number
- 802-272-7383
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 20, 2007
- Last Update Date
- July 11, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 431 Pine St Ste G01
Burlington, VT 05401-4726 - City
- Burlington
- State
- Vermont
- Zip
- 05401-4726
- Phone Number
- 802-272-7383
Provider Business Mailing Address Details
- Address
- 431 Pine St Ste G01
Burlington, VT 05401-4726 - City
- Burlington
- State
- VT
- Zip
- 05401-4726
- Phone Number
- 802-272-7383
License Information
- License Number
- 104-0000139
- License State
- VT
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Michelle L Black, ATC?
The NPI number of Mrs. Michelle L Black, ATC is 1295879351. It was assigned on February 20, 2007 and is currently active in the NPPES registry.
What is the specialty of Mrs. Michelle L Black, ATC?
Mrs. Michelle L Black, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in VT under license number 104-0000139.
Where does Mrs. Michelle L Black, ATC practice?
The practice location is 431 Pine St Ste G01, Burlington, VT 05401-4726. The office can be reached at 802-272-7383 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295879351 directly on the NPPES registry website.