Individual
DR. JEFFREY H. KORNBLUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4 W CLARK ST, MILFORD, CT 06460-2516
(203) 877-7488
(203) 783-9630
Mailing address
4 W CLARK ST, MILFORD, CT 06460-2516
(203) 877-7488
(203) 783-9630
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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