Provider Demographics
NPI:1770550287
Name:BLOCK, FRANCIS J III (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:J
Last Name:BLOCK
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:FRANK
Other - Middle Name:J
Other - Last Name:BLOCK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 9150
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42002-9150
Mailing Address - Country:US
Mailing Address - Phone:270-744-9600
Mailing Address - Fax:270-744-0834
Practice Address - Street 1:150 BRETT CHASE
Practice Address - Street 2:SUITE A
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-5706
Practice Address - Country:US
Practice Address - Phone:270-534-9513
Practice Address - Fax:270-534-9515
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-02
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY20024207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
18D0325367OtherCLIA
KY20024OtherSTATE LICENSE
KY64200249Medicaid
IL611166960-42003-01Medicaid
IL$$$$$$$$$Medicaid
1498501Medicare PIN
18D0325367OtherCLIA