Blanda, Jennifer Nicole
Blanda, Jennifer Nicole is an sole proprietor health care provider with primary practice located at 677 Church St Ne , Marietta GA 30060-1101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Blanda, Jennifer Nicole can be contacted via phone (330) 414-9471.Contact Information
Primary practice address
677 Church St Ne
Marietta GA 30060-1101
Phone: (330) 414-9471
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | A193129 | California |
Profile Details
| NPI number | 1235691882 |
|---|---|
| LBN Legal business name | Blanda, Jennifer Nicole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2019 |
| Last updated | Mar 22nd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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