Greenblatt, Jeffrey
Greenblatt, Jeffrey is an sole proprietor health care provider with primary practice located at 20 N Main St Ste 3 , Norwalk CT 06854-2720. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Greenblatt, Jeffrey can be contacted via phone (203) 838-6508.Contact Information
Primary practice address
20 N Main St Ste 3
Norwalk CT 06854-2720
Phone: (203) 838-6508
Fax: (203) 852-7021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 001122 | Connecticut |
Profile Details
| NPI number | 1124532213 |
|---|---|
| LBN Legal business name | Greenblatt, Jeffrey |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2017 |
| Last updated | Nov 28th, 2017 - about 9 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 | 1124532213 | NPPES |
| Connecticut | Other | 001122 | CONNECTICUT DEPT PUBLIC HEALTH |
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