Blomstedt, Jeffrey W

Blomstedt, Jeffrey W is an individual health care provider with primary practice located at 115 Wildwood Ave Western New England Renal And Trans, Greenfield MA 01301-1215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Blomstedt, Jeffrey W can be contacted via phone (413) 773-5797.

Contact Information

Primary practice address
115 Wildwood Ave Western New England Renal And Trans Greenfield MA 01301-1215
Phone: (413) 773-5797
Fax: (413) 773-9009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 53601 Massachusetts
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 9863 New Hampshire

Profile Details

NPI number 1831180363
LBN Legal business name Blomstedt, Jeffrey W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Mar 5th, 2014 - about 11 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 1831180363 NPPES
Vermont MEDICAID 1001541
Vermont MEDICAID 6183557
Vermont MEDICAID 99904936

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