Blaumer, William J
Blaumer, William J is an individual health care provider with primary practice located at 1355 Edgewater St Nw , Salem OR 97304-4077. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Blaumer, William J can be contacted via phone (503) 588-6960.Contact Information
Primary practice address
1355 Edgewater St Nw
Salem OR 97304-4077
Phone: (503) 588-6960
Fax: (503) 365-0056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5026 | Oregon |
Profile Details
| NPI number | 1447258165 |
|---|---|
| LBN Legal business name | Blaumer, William J |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Dec 3rd, 2008 - about 17 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 | 1447258165 | NPPES |
| Oregon | MEDICAID | 031836 |
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