Wayne Eugene Black, NMD
Individual provider Active NPI Naturopath · Columbia Falls, MT
NPI 1720154511 · NPPES record last updated Jan 30, 2025
Key facts
- NPI
- 1720154511
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 2327 (MT)
- Practice address
- 1010 Kelley Rd
Columbia Falls, MT 59912-9185 - Phone
- (602) 510-8789
- NPI assigned
- Nov 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2327 | MT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 2327 | MT | Yes |
Addresses
Primary practice location
1010 Kelley Rd
Columbia Falls, MT 59912-9185
Mailing address
1010 Kelley Rd
Columbia Falls, MT 59912-9185
Phone (602) 510-8789
Other providers in Columbia Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.