Provider Demographics
NPI:1932491610
Name:DAVID N. BLOCK, INC
Entity Type:Organization
Organization Name:DAVID N. BLOCK, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:N
Authorized Official - Last Name:BLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:757-436-5428
Mailing Address - Street 1:1108 MADISON PLZ
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-5111
Mailing Address - Country:US
Mailing Address - Phone:757-436-5428
Mailing Address - Fax:757-436-5325
Practice Address - Street 1:1108 MADISON PLZ
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-5111
Practice Address - Country:US
Practice Address - Phone:757-436-5428
Practice Address - Fax:757-436-5325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001142111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAU40799Medicare UPIN