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
Phone: (570) 207-7919
Fax: (570) 963-1953
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740356625 | NPPES |
Pennsylvania | Other | BL603478 | FEDERAL BLUE SHIELD |
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