Blonsky, Jeffery James

Blonsky, Jeffery James is an individual health care provider with primary practice located at 10507 E 91St St # 270 , Tulsa OK 74133-5589. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Blonsky, Jeffery James can be contacted via phone (918) 307-5480.

Contact Information

Primary practice address
10507 E 91St St # 270 Tulsa OK 74133-5589
Phone: (918) 307-5480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 04-31177 Kansas
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 11673 North Dakota
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 30250 Oklahoma

Profile Details

NPI number 1609896596
LBN Legal business name Blonsky, Jeffery James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Aug 11th, 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 1609896596 NPPES
Oklahoma MEDICAID 200536180A
Oklahoma MEDICAID 15750

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