Blechle, Kevin W.

Blechle, Kevin W. is an individual health care provider with primary practice located at 5359 Eastern Ave , Davenport IA 52807-2738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blechle, Kevin W. can be contacted via phone (563) 742-5900.

Contact Information

Primary practice address
5359 Eastern Ave Davenport IA 52807-2738
Phone: (563) 742-5900
Fax: (563) 742-5905
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02836 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-102383 Illinois

Profile Details

NPI number 1396725768
LBN Legal business name Blechle, Kevin W.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jan 15th, 2014 - about 11 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 1396725768 NPPES
Illinois MEDICAID 036-102383
Illinois Other P00055265
Illinois MEDICAID 1396725768

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