Gorlin, Jed
Gorlin, Jed is an individual health care provider with primary practice located at 737 Pelham Blvd , Saint Paul MN 55114-1739. He recently has only one registered license in Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine, which is considered as his primary health care specialty. Gorlin, Jed can be contacted via phone (651) 332-7284.Contact Information
Primary practice address
737 Pelham Blvd
Saint Paul MN 55114-1739
Phone: (651) 332-7284
Fax: (651) 332-7025
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine | 207ZB0001X | 39988 | Minnesota |
Profile Details
NPI number | 1720023112 |
---|---|
LBN Legal business name | Gorlin, Jed |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2006 |
Last updated | May 11th, 2017 - about 7 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 | 1720023112 | NPPES |
Minnesota | MEDICAID | 032170100 |
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