Kornblatt, Norman I

Kornblatt, Norman I is an sole proprietor health care provider with primary practice located at 3666 Highway 5 Ste 101, Douglasville GA 30135-6940. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Kornblatt, Norman I can be contacted via phone (770) 942-3668.

Contact Information

Primary practice address
3666 Highway 5 Ste 101 Douglasville GA 30135-6940
Phone: (770) 942-3668
Fax: (770) 920-9675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 553 Georgia

Profile Details

NPI number 1194728048
LBN Legal business name Kornblatt, Norman I
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Oct 14th, 2008 - about 18 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 1194728048 NPPES
Georgia MEDICAID 000344957A

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