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Individual

DR. JOHNTHAN D BLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3431 COMMERCE PKWY STE C, WOOSTER, OH 44691-7114
(330) 345-1330
(330) 264-0003
Mailing address
3431 COMMERCE PKWY STE C, WOOSTER, OH 44691-7114
(330) 345-1330
(330) 264-0003

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
3561
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000377701
ANTHEM
OH
01
251924207-00
BWC
OH
05
2601643
OH
Enumeration date
07/10/2006
Last updated
07/08/2007
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