Blass, Mitchell A
Blass, Mitchell A is an individual health care provider with primary practice located at 5673 Peachtree Dunwoody Rd Ste #600, Atlanta GA 30342-1731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Blass, Mitchell A can be contacted via phone (404) 303-1944.Contact Information
Primary practice address
5673 Peachtree Dunwoody Rd Ste #600
Atlanta GA 30342-1731
Phone: (404) 303-1944
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 039531 | Georgia |
Profile Details
| NPI number | 1205976081 |
|---|---|
| LBN Legal business name | Blass, Mitchell A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jan 17th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205976081 | NPPES |
| Georgia | MEDICAID | 00677102B |
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