Blick, Michael D
Blick, Michael D is an individual health care provider with primary practice located at 415 Boulevard , Mountain Lake NJ 07046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Blick, Michael D can be contacted via phone (973) 334-7700.Contact Information
Primary practice address
415 Boulevard
Mountain Lake NJ 07046
Phone: (973) 334-7700
Fax: (973) 402-5847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MA56197 | New Jersey |
Profile Details
| NPI number | 1740250380 |
|---|---|
| LBN Legal business name | Blick, Michael D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Mar 22nd, 2021 - about 3 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 | 1740250380 | NPPES |
| New Jersey | MEDICAID | 6565603 |
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