| Karla J Block Llc | |
|
411 W Lake Lansing Rd Ste C120 East Lansing MI 48823-8483 | |
| (517) 214-9154 | |
| Not Available |
| Full Name | Karla J Block Llc |
|---|---|
| Speciality | Social Worker |
| Location | 411 W Lake Lansing Rd Ste C120, East Lansing, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karla J Block Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Karla J Block Llc 411 W Lake Lansing Rd Ste C120 East Lansing MI 48823-8483 Ph: (517) 214-9154 |
| NPI Number | 1417669599 |
|---|---|
| Provider Enumeration Date | 12/20/2022 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Medicare PECOS PAC ID | 4981074051 |
|---|---|
| Medicare Enrollment ID | O20230105002855 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417669599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Karla J Block |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811135486 PECOS PAC ID: 4880076447 Enrollment ID: I20220729001477 |
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