Block, Dale J
Block, Dale J is an individual health care provider with primary practice located at 4859 Nixon Park Dr Suite A, Mason OH 45040-8106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Block, Dale J can be contacted via phone (513) 492-5940.Contact Information
Primary practice address
4859 Nixon Park Dr Suite A
Mason OH 45040-8106
Phone: (513) 492-5940
Fax: (513) 492-5941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME81500 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35.058139 | Ohio |
Profile Details
| NPI number | 1174505119 |
|---|---|
| LBN Legal business name | Block, Dale J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Nov 15th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174505119 | NPPES |
| Ohio | MEDICAID | 0059525 | |
| Ohio | MEDICAID | 000235000 |
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