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:
Health care specialties
| Specialty | Code | License # | 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 11 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 | 1073582649 | NPPES |
| California | MEDICAID | 00G30769 |
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