Blair, Jonathan Matthew

Blair, Jonathan Matthew is an individual health care provider with primary practice located at 5123 W St Joe Hwy Suite 103, Lansing MI 48917-4093. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Blair, Jonathan Matthew can be contacted via phone (517) 323-4099.

Contact Information

Primary practice address
5123 W St Joe Hwy Suite 103 Lansing MI 48917-4093
Phone: (517) 323-4099
Fax: (517) 323-3334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301014658 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1285940064
LBN Legal business name Blair, Jonathan Matthew
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2010
Last updated Dec 28th, 2011 - about 15 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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