National Provider Identifier Database

DR JOHNNY J DI BLASI DO PC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

DR JOHNNY J DI BLASI DO PC
3 WASHINGTON AVE
GAINESVILLE, GA30501-4135
Phone: 904-482-9673
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for DR JOHNNY J DI BLASI DO PC

NPI Number 1013378165
Legal business name
LBN
DR JOHNNY J DI BLASI DO PC
Authorized official JOHNNY DI BLASI - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/17/2016
Last updated 03/17/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 75206

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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