Blass, Mitchell A

Blass, Mitchell A is an individual health care provider with primary practice located at 5673 Peachtree Dunwoody Rd Ste #600, Atlanta GA 30342-1731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Blass, Mitchell A can be contacted via phone (404) 303-1944.

Contact Information

Primary practice address
5673 Peachtree Dunwoody Rd Ste #600 Atlanta GA 30342-1731
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 039531 Georgia

Profile Details

NPI number 1205976081
LBN Legal business name Blass, Mitchell A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Jan 17th, 2024 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205976081 NPPES
Georgia MEDICAID 00677102B

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