Blum, Andrew S

Blum, Andrew S is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Blum, Andrew S can be contacted via phone (401) 444-3032.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Phone: (401) 444-3032
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X MD10439 Rhode Island
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD10439 Rhode Island

Profile Details

NPI number 1376579318
LBN Legal business name Blum, Andrew S
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Oct 5th, 2018 - about 6 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 1376579318 NPPES
Rhode Island MEDICAID 7008486

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