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:
Health care specialties
| Specialty | Code | License # | 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 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780631705 | NPPES |
| Ohio | Other | 942460636334 | CARESOURCE |
| Ohio | MEDICAID | 0903642 | CARESOURCE |
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