Block, Jerald Joseph
Block, Jerald Joseph is an individual health care provider with primary practice located at 51 Sw Lee St , Newport OR 97365-3823. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Block, Jerald Joseph can be contacted via phone (541) 574-5960.Contact Information
Primary practice address
51 Sw Lee St
Newport OR 97365-3823
Phone: (541) 574-5960
Fax: (541) 265-0601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD22033 | Oregon |
Profile Details
| NPI number | 1598891319 |
|---|---|
| LBN Legal business name | Block, Jerald Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1598891319 | NPPES |
| Oregon | Other | MD22033 | LICENSE |
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