Blaty, Justin

Blaty, Justin is an individual health care provider with primary practice located at 1075 N Curtis Rd Ste 201 , Boise ID 83706-1350. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Blaty, Justin can be contacted via phone (208) 302-3300.

Contact Information

Primary practice address
1075 N Curtis Rd Ste 201 Boise ID 83706-1350
Phone: (208) 302-3300
Fax: (208) 302-3355
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 2080S0012X 77233 Wisconsin
Allopathic & Osteopathic Physicians / Sleep Medicine 2080S0012X MD61145727 Washington
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sleep Medicine 2080S0012X M-17623 Idaho

Profile Details

NPI number 1548766835
LBN Legal business name Blaty, Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2018
Last updated May 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548766835 NPPES
Wisconsin MEDICAID 1548766835

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