Bleznak, Jennifer Laura

Bleznak, Jennifer Laura is an individual health care provider with primary practice located at 601 Children'S Lane , Norfolk VA 23507. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Bleznak, Jennifer Laura can be contacted via phone (609) 402-1416.

Contact Information

Primary practice address
601 Children'S Lane Norfolk VA 23507
Phone: (609) 402-1416
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 0101266625 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101266625 Virginia

Profile Details

NPI number 1477917839
LBN Legal business name Bleznak, Jennifer Laura
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2016
Last updated May 7th, 2020 - about 4 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 1477917839 NPPES
Virginia Other 0101266625 STATE LICENSE

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