Blitz, Neil Lawrence

Blitz, Neil Lawrence is an individual health care provider with primary practice located at 19 Clarkes Village Rd , Jamestown RI 02835-2803. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Blitz, Neil Lawrence can be contacted via phone (401) 556-0625.

Contact Information

Primary practice address
19 Clarkes Village Rd Jamestown RI 02835-2803
Phone: (401) 556-0625
Fax: (401) 423-1416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN12878 Massachusetts
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 1721 Rhode Island

Profile Details

NPI number 1346242252
LBN Legal business name Blitz, Neil Lawrence
Credentials D.M.D, M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Feb 26th, 2010 - about 15 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 1346242252 NPPES
Rhode Island MEDICAID NB00014

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