Dr. Paul J Blaha
Periodontist
1976 Aberdeen Court Suite A
Sycamore
, Illinois 60178
Dr. Paul J Blaha
Periodontist
1976 Aberdeen Court Suite A
Sycamore
, Illinois 60178
(815) 758-0274
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Paul J Blaha
- 1976 Aberdeen Court Suite A
- Sycamore, IL
- Zip : 60178
- Fax : (815) 758-0274
- Phone : (815) 758-3457
Second Address
- Dr. Paul J Blaha
- 1976 Aberdeen Court Suite A
- Sycamore, IL
- Zip : 60178
- Fax : (815) 758-0274
- Phone : (815) 758-3457
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | ID |
National Provider Identifier
| NPI | 1124134283 |
|---|---|
| Provider Name | Dr. Paul J Blaha |
| First Address | Sycamore, IL 60178 |
| Second Address | Sycamore, IL 60178 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.