Blau, Jeffrey J

Blau, Jeffrey J is an individual health care provider with primary practice located at 2300 Chamber Center Dr , Fort Mitchell KY 41017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blau, Jeffrey J can be contacted via phone (859) 341-3114.

Contact Information

Primary practice address
2300 Chamber Center Dr Fort Mitchell KY 41017
Fax: (859) 578-2156
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3508271B Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27429 Kentucky

Profile Details

NPI number 1861446031
LBN Legal business name Blau, Jeffrey J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Sep 7th, 2018 - about 8 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 1861446031 NPPES
Ohio MEDICAID 2156769
Ohio MEDICAID 64274293

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