Goldblatt, Lawrence I
Goldblatt, Lawrence I is an individual health care provider with primary practice located at 1121 W Michigan St Room 285, Indianapolis IN 46202-5211. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Goldblatt, Lawrence I can be contacted via phone (317) 274-7668.Contact Information
Primary practice address
1121 W Michigan St Room 285
Indianapolis IN 46202-5211
Phone: (317) 274-7668
Fax: (317) 274-3346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 12007207 | Indiana |
Profile Details
| NPI number | 1255308011 |
|---|---|
| LBN Legal business name | Goldblatt, Lawrence I |
| Credentials | DDS MSD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1255308011 | NPPES |
| Other | 000000211690 | ANTHEM |
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