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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 8 months ago

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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