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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578552659 | NPPES |
New York | MEDICAID | 1454475 |
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