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Contact Information

JUSTIN BLATY, MD
1075 N CURTIS RD STE 201
BOISE, ID83706-1350
 Phone: 208-302-3300
 Fax: 208-302-3355
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

2080S0012X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JUSTIN BLATY · (Male)

NPI # 1548766835
Status Active
Credentials MD
Entity Individual
Enumeration date 04/04/2018
Last updated 05/19/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-17623
  • WA License # MD61145727
  • WI License # 77233
  • WI Medicaid 1548766835
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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