Blatt, Michael
Blatt, Michael is an sole proprietor health care provider with primary practice located at Preferred Behavioral Health 1500 Route 88, Brick NJ 08724. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Blatt, Michael can be contacted via phone (732) 458-1700.Contact Information
Primary practice address
Preferred Behavioral Health 1500 Route 88
Brick NJ 08724
Phone: (732) 458-1700
Fax: (732) 785-9500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC00003400 | New Jersey |
Profile Details
| NPI number | 1578627121 |
|---|---|
| LBN Legal business name | Blatt, Michael |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Jul 9th, 2007 - 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 | 1578627121 | NPPES |
| New Jersey | Other | 239574 | MHN |
| New Jersey | MEDICAID | 0029807 | MHN |
| New Jersey | Other | 66615 | MHN |
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