Blades, Edmond William

Blades, Edmond William is an individual health care provider with primary practice located at 30701 Clemens Road , Westlake OH 44145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Blades, Edmond William can be contacted via phone (440) 617-1212.

Contact Information

Primary practice address
30701 Clemens Road Westlake OH 44145
Fax: (440) 617-1213
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35050649 Ohio

Profile Details

NPI number 1245258680
LBN Legal business name Blades, Edmond William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Aug 12th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245258680 NPPES
Ohio Other 100009805 RAILROAD MEDICARE
Ohio MEDICAID 0698311 RAILROAD MEDICARE

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