Blatt, Mark N
Blatt, Mark N is an sole proprietor health care provider with primary practice located at 3175 Granada Dr , Cameron Park CA 95682-8142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blatt, Mark N can be contacted via phone (203) 512-3152.Contact Information
Primary practice address
3175 Granada Dr
Cameron Park CA 95682-8142
Phone: (203) 512-3152
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 022835 | Connecticut |
Profile Details
| NPI number | 1992242655 |
|---|---|
| LBN Legal business name | Blatt, Mark N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2017 |
| Last updated | Jan 19th, 2017 - about 8 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 | 1992242655 | NPPES |
| Connecticut | Other | 022835 | CONNECTICUT STATE LICENSE |
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