Blass, Joel Mitchell

Blass, Joel Mitchell is an individual health care provider with primary practice located at 2920 Forestville Rd Ste 100 , Raleigh NC 27616-8774. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Blass, Joel Mitchell can be contacted via phone (860) 882-7525.

Contact Information

Primary practice address
2920 Forestville Rd Ste 100 Raleigh NC 27616-8774
Phone: (860) 882-7525
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2016-00926 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 166612 New York

Profile Details

NPI number 1154429850
LBN Legal business name Blass, Joel Mitchell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Oct 6th, 2023 - about 2 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 1154429850 NPPES
North Carolina MEDICAID 1154429850
North Carolina MEDICAID 00968290

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