Blau, Elliot
Blau, Elliot is an individual health care provider with primary practice located at 311 9Th St N Ste 200 , Naples FL 34102-5887. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Blau, Elliot can be contacted via phone (239) 624-1160.Contact Information
Primary practice address
311 9Th St N Ste 200
Naples FL 34102-5887
Phone: (239) 624-1160
Fax: (239) 624-1161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | TRN20137 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ML60569414 | Washington |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME147159 | Florida |
Profile Details
| NPI number | 1396150140 |
|---|---|
| LBN Legal business name | Blau, Elliot |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2014 |
| Last updated | Mar 24th, 2021 - about 5 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 | 1396150140 | NPPES |
| Florida | Other | Z3W7E | BCBS |
| Florida | MEDICAID | 108118800 | BCBS |
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