Joyce, David Blaine

Joyce, David Blaine is an individual health care provider with primary practice located at 3600 Kolbe Rd Suite 127, Lorain OH 44053-1654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Joyce, David Blaine can be contacted via phone (440) 414-9200.

Contact Information

Primary practice address
3600 Kolbe Rd Suite 127 Lorain OH 44053-1654
Phone: (440) 414-9200
Fax: (216) 201-5582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35053611 Ohio

Profile Details

NPI number 1114907243
LBN Legal business name Joyce, David Blaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jan 7th, 2021 - about 4 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 1114907243 NPPES
Ohio Other 341221800057 CARESOURCE
Ohio Other 000000128707 CARESOURCE
Ohio MEDICAID 0698320 CARESOURCE
Ohio Other 100398 CARESOURCE
Ohio Other 060013319 CARESOURCE
Ohio Other E58611 CARESOURCE
Ohio Other P00003019 CARESOURCE

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