Blidner, Martin D
Blidner, Martin D is an individual health care provider with primary practice located at 150 Mundy Street Mac Ii Bldg, Wilkes Barre PA 18702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Blidner, Martin D can be contacted via phone (570) 824-7117.Contact Information
Primary practice address
150 Mundy Street Mac Ii Bldg
Wilkes Barre PA 18702
Phone: (570) 824-7117
Fax: (570) 825-7610
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | MD038941L | Pennsylvania |
Profile Details
| NPI number | 1598827792 |
|---|---|
| LBN Legal business name | Blidner, Martin D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Aug 14th, 2020 - about 5 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 | 1598827792 | NPPES |
| Pennsylvania | Other | 0042762000 | INDEPENDENCE BS |
| Pennsylvania | MEDICAID | 0802107 | INDEPENDENCE BS |
| Pennsylvania | Other | 802060 | INDEPENDENCE BS |
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