Provider Demographics
NPI:1578730362
Name:BLOCK, EDWARD FREDERICK IV (L AC)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:FREDERICK
Last Name:BLOCK
Suffix:IV
Gender:M
Credentials:L AC
Other - Prefix:
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Mailing Address - Street 1:2024 ASHEVILLE HWY
Mailing Address - Street 2:SUITE H
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791
Mailing Address - Country:US
Mailing Address - Phone:828-698-5948
Mailing Address - Fax:828-698-5950
Practice Address - Street 1:2024 ASHEVILLE HWY
Practice Address - Street 2:SUITE H
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791
Practice Address - Country:US
Practice Address - Phone:828-698-5948
Practice Address - Fax:828-698-5950
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC481171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist