Blough, John M

Blough, John M is an individual health care provider with primary practice located at 1412 Elba Hwy , Troy AL 36079-0000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blough, John M can be contacted via phone (334) 566-8822.

Contact Information

Primary practice address
1412 Elba Hwy Troy AL 36079-0000
Fax: (334) 670-6723
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO-601 Alabama

Profile Details

NPI number 1972513059
LBN Legal business name Blough, John M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Mar 26th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972513059 NPPES
Alabama MEDICAID 631804037
Alabama Other 51530670

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