Gladstein, Jeffrey N
Gladstein, Jeffrey N is an individual health care provider with primary practice located at 1000 Medical Center Blvd , Lawrenceville GA 30046-0000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gladstein, Jeffrey N can be contacted via phone (770) 277-3056.Contact Information
Primary practice address
1000 Medical Center Blvd
Lawrenceville GA 30046-0000
Phone: (770) 277-3056
Fax: (855) 204-5244
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 034837 | Georgia |
Profile Details
NPI number | 1053359687 |
---|---|
LBN Legal business name | Gladstein, Jeffrey N |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 4th, 2006 |
Last updated | Apr 10th, 2014 - about 10 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 | 1053359687 | NPPES |
Georgia | MEDICAID | 00628196A |
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