Blommel, Jared

Blommel, Jared is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-0001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Blommel, Jared can be contacted via phone (608) 263-6400.

Contact Information

Primary practice address
600 Highland Ave Madison WI 53792-0001
Phone: (608) 263-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 74476 Wisconsin
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X 74476 Wisconsin

Profile Details

NPI number 1841753712
LBN Legal business name Blommel, Jared
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2019
Last updated Mar 8th, 2021 - 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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