Blitz, Meredith
Blitz, Meredith is an sole proprietor health care provider with primary practice located at 28 Jackson Ave Ste 1 , Pompton Plains NJ 07444-1479. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Blitz, Meredith can be contacted via phone (973) 831-0382.Contact Information
Primary practice address
28 Jackson Ave Ste 1
Pompton Plains NJ 07444-1479
Phone: (973) 831-0382
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DI 19718 | New Jersey |
Profile Details
| NPI number | 1790749695 |
|---|---|
| LBN Legal business name | Blitz, Meredith |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Sep 17th, 2019 - about 5 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 | 1790749695 | NPPES |
| New Jersey | MEDICAID | 8505306 |
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