Blocker, Douglas L
Blocker, Douglas L is an individual health care provider with primary practice located at 4575 Everhard Rd Nw , Canton OH 44718-2406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Blocker, Douglas L can be contacted via phone (330) 494-5600.Contact Information
Primary practice address
4575 Everhard Rd Nw
Canton OH 44718-2406
Phone: (330) 494-5600
Fax: (330) 966-1644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35037737 | Ohio |
Profile Details
| NPI number | 1609860840 |
|---|---|
| LBN Legal business name | Blocker, Douglas L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Jan 24th, 2012 - about 12 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 | 1609860840 | NPPES |
| Ohio | MEDICAID | 0344194 |
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