Individual
JAMES ELDRIDGE BLAINE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
355 E CAMPUS VIEW BLVD, SUITE 175, COLUMBUS, OH 43235-5616
(614) 987-1424
(855) 252-4451
Mailing address
PO BOX 4839, TROY, MI 48099-4839
(248) 824-6600
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003408
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2553062
—
OH
01
—
9354431
MEDICARE GROUP #
OH
Enumeration date
09/11/2006
Last updated
07/10/2014
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