Nestok, Blake R

Nestok, Blake R is an individual health care provider with primary practice located at 2139 Auburn Ave , Cincinnati OH 45219-2906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Nestok, Blake R can be contacted via phone (513) 585-7600.

Contact Information

Primary practice address
2139 Auburn Ave Cincinnati OH 45219-2906
Phone: (513) 585-7600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 35063456 Ohio

Profile Details

NPI number 1952391252
LBN Legal business name Nestok, Blake R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jun 3rd, 2014 - 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 1952391252 NPPES
Ohio MEDICAID 0886402
Ohio MEDICAID 64930233
Ohio MEDICAID 200002650B
Ohio Other 000000015570

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