Kornblut, Jeffrey H.

Kornblut, Jeffrey H. is an sole proprietor health care provider with primary practice located at 4 W Clark St , Milford CT 06460-2516. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kornblut, Jeffrey H. can be contacted via phone (203) 877-7488.

Contact Information

Primary practice address
4 W Clark St Milford CT 06460-2516
Phone: (203) 877-7488
Fax: (203) 783-9630
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 884 Connecticut

Profile Details

NPI number 1225149214
LBN Legal business name Kornblut, Jeffrey H.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1225149214 NPPES
Connecticut Other 701678 CONNECTICARE PROVIDER #
Connecticut Other P395048 CONNECTICARE PROVIDER #
Connecticut Other 050000884CT01 CONNECTICARE PROVIDER #
Connecticut Other OV1665 CONNECTICARE PROVIDER #

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