Block, Richard Allan
Block, Richard Allan is an sole proprietor health care provider with primary practice located at 1160 N Green Bay Rd , Lake Forest IL 60045-1104. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Block, Richard Allan can be contacted via phone (847) 234-5296.Contact Information
Primary practice address
1160 N Green Bay Rd
Lake Forest IL 60045-1104
Phone: (847) 234-5296
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1851357206 |
|---|---|
| LBN Legal business name | Block, Richard Allan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Jan 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851357206 | NPPES |
| Oregon | MEDICAID | 022770 |
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