Blasius, Jonathan

Blasius, Jonathan is an individual health care provider with primary practice located at 207 Foote Ave , Jamestown NY 14701-7077. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Blasius, Jonathan can be contacted via phone (716) 487-0141.

Contact Information

Primary practice address
207 Foote Ave Jamestown NY 14701-7077
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 192529 New York

Profile Details

NPI number 1578552659
LBN Legal business name Blasius, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Nov 11th, 2008 - about 17 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578552659 NPPES
New York MEDICAID 1454475

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