Blom, Paul Henry
Blom, Paul Henry is an individual health care provider with primary practice located at 3448 Us Route 60 , Huntington WV 25705-2906. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Blom, Paul Henry can be contacted via phone (304) 522-1550.Contact Information
Primary practice address
3448 Us Route 60
Huntington WV 25705-2906
Phone: (304) 522-1550
Fax: (304) 522-0704
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35-085169 | Ohio |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 39150 | Kentucky |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 21514 | West Virginia |
Profile Details
NPI number | 1184601908 |
---|---|
LBN Legal business name | Blom, Paul Henry |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 22nd, 2005 |
Last updated | May 7th, 2024 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184601908 | NPPES |
Other | 000011745 | MTN STATE BCBS | |
MEDICAID | 1810941000 | MTN STATE BCBS | |
Other | P00099468 | MTN STATE BCBS | |
Other | 55079337600 | MTN STATE BCBS | |
Other | 000000205297 | MTN STATE BCBS | |
MEDICAID | 6407884300 | MTN STATE BCBS | |
Other | 50007259 | MTN STATE BCBS | |
MEDICAID | 2466031 | MTN STATE BCBS | |
Other | 7061267 | MTN STATE BCBS |
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