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
Fax: (651) 332-7025
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720023112 NPPES
Minnesota MEDICAID 032170100

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