Blau, Jeffrey Ira

Blau, Jeffrey Ira is an individual health care provider with primary practice located at 475 Morgan Highway Charles Luger Bldg, Scranton PA 18508. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Blau, Jeffrey Ira can be contacted via phone (570) 207-7919.

Contact Information

Primary practice address
475 Morgan Highway Charles Luger Bldg Scranton PA 18508
Fax: (570) 963-1953
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW014412 Pennsylvania

Profile Details

NPI number 1740356625
LBN Legal business name Blau, Jeffrey Ira
Credentials MSW LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740356625 NPPES
Pennsylvania Other BL603478 FEDERAL BLUE SHIELD

Popular Providers