Blommel, Jeffrey W

Blommel, Jeffrey W is an individual health care provider with primary practice located at 601 S Edwin C Moses Blvd 4Th Floor, Nw Bldg, Dayton OH 45417-3424. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Blommel, Jeffrey W can be contacted via phone (937) 734-8333.

Contact Information

Primary practice address
601 S Edwin C Moses Blvd 4Th Floor, Nw Bldg Dayton OH 45417-3424
Phone: (937) 734-8333
Fax: (937) 734-8339
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X C.1100287 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.110594 Ohio
Behavioral Health & Social Service Providers / Counselor 101Y00000X C.1100287 Ohio

Profile Details

NPI number 1952649477
LBN Legal business name Blommel, Jeffrey W
Credentials PC,CDCA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2013
Last updated Dec 31st, 2013 - about 13 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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