Greenblatt, Jesse

Greenblatt, Jesse is an individual health care provider with primary practice located at 3600 Nw Samaritan Dr , Corvallis OR 97330-3737. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Greenblatt, Jesse can be contacted via phone (541) 768-5111.

Contact Information

Primary practice address
3600 Nw Samaritan Dr Corvallis OR 97330-3737
Phone: (541) 768-5111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 247191 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD158641 Oregon

Profile Details

NPI number 1609077296
LBN Legal business name Greenblatt, Jesse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Nov 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609077296 NPPES
Oregon MEDICAID 500650075

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