Blitz, Jack

Blitz, Jack is an individual health care provider with primary practice located at 101 W Ehringhaus St , Elizabeth City NC 27909-4921. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Blitz, Jack can be contacted via phone (252) 338-3933.

Contact Information

Primary practice address
101 W Ehringhaus St Elizabeth City NC 27909-4921
Fax: (252) 338-1760
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 8492 North Carolina

Profile Details

NPI number 1851641021
LBN Legal business name Blitz, Jack
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2012
Last updated Sep 14th, 2012 - about 14 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.

Request for update

Popular Providers