Blicht, Keith R

Blicht, Keith R is an individual health care provider with primary practice located at 114 W Mount Pleasant Ave , Livingston NJ 07039-2932. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Blicht, Keith R can be contacted via phone (973) 994-2323.

Contact Information

Primary practice address
114 W Mount Pleasant Ave Livingston NJ 07039-2932
Fax: (973) 994-1970
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00216600 New Jersey

Profile Details

NPI number 1033147855
LBN Legal business name Blicht, Keith R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Nov 16th, 2010 - about 14 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 1033147855 NPPES
New Jersey MEDICAID 5526906

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