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Individual
DR. JEFFREY H. KORNBLUT
Active
Individual
DR. JEFFREY H. KORNBLUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
884
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000884CT01
ANTHEM BC/BS PROVIDER #
CT
01
—
701678
CONNECTICARE PROVIDER #
CT
01
—
OV1665
HEALTHNET PROVIDER #
CT
01
—
P395048
OXFORD PROVIDER #
CT
Enumeration date
08/31/2006
Last updated
07/08/2007
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