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ROSENBLATT CLINIC LLC NPI 1306395645


NPI Information

NPI: 1306395645
Provider Name: ROSENBLATT CLINIC LLC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
4621 S SHRANK DR
SUITE B
INDEPENDENCE, MO
ZIP 64055
Phone: (813) 229-3200
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ROSENBLATT CLINIC LLC is an addiction medicine family medicine in Independence, MO. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. ROSENBLATT CLINIC LLC NPI is 1306395645. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4621 S SHRANK DR
SUITE B
INDEPENDENCE, MO
ZIP 64055-453
Phone: (813) 229-3200

The provider's authorized official is Lewis Rosenblatt .
The authorized official title is Doctor Of Osteopathy and has the following contact phone number (816) 229-3200.

The enumeration date for this NPI number is 9/28/2016 and was last updated on 9/28/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0401XFamily MedicineAddiction MedicineR7685MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1L683767MEDICARE PIN
2C51727MEDICARE UPINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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