Blumenthal, Jessica Ellen
Blumenthal, Jessica Ellen is an individual health care provider with primary practice located at 911 West Henderson Street Suite 300, Salisbury NC 28144-2700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Blumenthal, Jessica Ellen can be contacted via phone (704) 636-9270.Contact Information
Primary practice address
911 West Henderson Street Suite 300
Salisbury NC 28144-2700
Phone: (704) 636-9270
Fax: (704) 636-1095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 200000362 | North Carolina |
Profile Details
| NPI number | 1689652992 |
|---|---|
| LBN Legal business name | Blumenthal, Jessica Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Oct 25th, 2020 - about 6 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 | 1689652992 | NPPES |
| North Carolina | MEDICAID | 89126PY |
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