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:
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Health care specialties

SpecialtyCodeLicense #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 14 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 1235106279 NPPES
West Virginia MEDICAID 1810976000
West Virginia MEDICAID 2502134

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