Blok, Derek
Blok, Derek is an individual health care provider with primary practice located at 4100 Lake Dr Se Ste 300 , Grand Rapids MI 49546-8292. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Blok, Derek can be contacted via phone (616) 267-8741.Contact Information
Primary practice address
4100 Lake Dr Se Ste 300
Grand Rapids MI 49546-8292
Phone: (616) 267-8741
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 4301119280 | Michigan |
Allopathic & Osteopathic Physicians / Sports Medicine | 207PS0010X | 4301119280 | Michigan |
Profile Details
NPI number | 1306367230 |
---|---|
LBN Legal business name | Blok, Derek |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2017 |
Last updated | Oct 20th, 2023 - about last year |
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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