Blatnik, Jeffrey Alan
Blatnik, Jeffrey Alan is an individual health care provider with primary practice located at 4921 Parkview Pl Div Surg Mis, Ste 12B, Saint Louis MO 63110-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Blatnik, Jeffrey Alan can be contacted via phone (314) 454-8877.Contact Information
Primary practice address
4921 Parkview Pl Div Surg Mis, Ste 12B
Saint Louis MO 63110-1032
Phone: (314) 454-8877
Fax: (877) 991-4780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2015014712 | Missouri |
Profile Details
| NPI number | 1629266770 |
|---|---|
| LBN Legal business name | Blatnik, Jeffrey Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2007 |
| Last updated | Apr 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629266770 | NPPES |
| Missouri | MEDICAID | 200026246 |
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