Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David Blaine

Individual provider Peer Specialist · NPI 1942017017

David Blaine is a Peer Specialist in Lorain, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2024

Practice location Address checks out

6140 S Broadway
Lorain, OH 44053-3821
Phone: (440) 233-7232
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence APS.000193 (OH)

Record details

NPI number1942017017
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 12, 2024
Last updated in NPPESDecember 12, 2024
Certification dateDecember 9, 2024
Mailing address6140 South Broadway, Lorain, OH 44053-3821

Other providers in Lorain