Bloxdorf, Greg

Bloxdorf, Greg is an sole proprietor health care provider with primary practice located at 29000 Center Ridge Rd , Westlake OH 44145-5293. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bloxdorf, Greg can be contacted via phone (440) 835-8000.

Contact Information

Primary practice address
29000 Center Ridge Rd Westlake OH 44145-5293
Phone: (440) 835-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34005565B Ohio

Profile Details

NPI number 1780631705
LBN Legal business name Bloxdorf, Greg
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1780631705 NPPES
Ohio Other 942460636334 CARESOURCE
Ohio MEDICAID 0903642 CARESOURCE

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