Blom, Dina Christina
Blom, Dina Christina is an individual health care provider with primary practice located at 1508 6Th Ave , Huntington WV 25701-2902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Blom, Dina Christina can be contacted via phone (304) 522-8311.Contact Information
Primary practice address
1508 6Th Ave
Huntington WV 25701-2902
Phone: (304) 522-8311
Fax: (304) 522-8313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 21513 | West Virginia |
Profile Details
| NPI number | 1235106279 |
|---|---|
| LBN Legal business name | Blom, Dina Christina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jan 25th, 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 | 1235106279 | NPPES |
| West Virginia | MEDICAID | 1810976000 | |
| West Virginia | MEDICAID | 2502134 |
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