Blasko, Gregory

Blasko, Gregory is an individual health care provider with primary practice located at 3262 Center Rd , Poland OH 44514-2201. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Blasko, Gregory can be contacted via phone (330) 707-1220.

Contact Information

Primary practice address
3262 Center Rd Poland OH 44514-2201
Phone: (330) 707-1220
Fax: (330) 707-1066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36-00-2905 Ohio
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC-00-4402 Pennsylvania
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 330 West Virginia

Profile Details

NPI number 1669479044
LBN Legal business name Blasko, Gregory
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Feb 21st, 2019 - about 5 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 1669479044 NPPES
Ohio MEDICAID 2052004

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