Blam, Michael

Blam, Michael is an individual health care provider with primary practice located at 2925 Palo Verde Ave , Long Beach CA 90815-1552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Blam, Michael can be contacted via phone (562) 429-2473.

Contact Information

Primary practice address
2925 Palo Verde Ave Long Beach CA 90815-1552
Phone: (562) 429-2473
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 039355 Connecticut

Profile Details

NPI number 1801877733
LBN Legal business name Blam, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jan 29th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801877733 NPPES
Connecticut MEDICAID 001393553

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