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:
Health care specialties
Specialty | Code | License # | 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 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801877733 | NPPES |
Connecticut | MEDICAID | 001393553 |
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