Blumenthal, Jeffrey Alan

Blumenthal, Jeffrey Alan is an individual health care provider with primary practice located at 993-D Johnson Ferry Rd Suite 440, Atlanta GA 30342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Blumenthal, Jeffrey Alan can be contacted via phone (404) 257-0799.

Contact Information

Primary practice address
993-D Johnson Ferry Rd Suite 440 Atlanta GA 30342
Phone: (404) 257-0799
Fax: (404) 503-2280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 041731 Georgia

Profile Details

NPI number 1417926544
LBN Legal business name Blumenthal, Jeffrey Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Feb 28th, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417926544 NPPES
Other 075345 BLUE CHOICE FAC
Other 2106202004 BLUE CHOICE FAC
Other 5681456 BLUE CHOICE FAC
Other 1433162 BLUE CHOICE FAC
Other 52507534010 BLUE CHOICE FAC
Other 2134874 BLUE CHOICE FAC
MEDICAID 00715349G BLUE CHOICE FAC
Other 1786 BLUE CHOICE FAC

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