Blatz, Douglas John

Blatz, Douglas John is an sole proprietor health care provider with primary practice located at 221 E Hacienda Ave Ste C , Campbell CA 95008-6625. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Blatz, Douglas John can be contacted via phone (408) 374-5700.

Contact Information

Primary practice address
221 E Hacienda Ave Ste C Campbell CA 95008-6625
Phone: (408) 374-5700
Fax: (408) 374-5835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G30769 California
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X G30769 California

Profile Details

NPI number 1073582649
LBN Legal business name Blatz, Douglas John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2006
Last updated Jul 19th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073582649 NPPES
California MEDICAID 00G30769

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