Blum, Angela Sue Fornkohl

Blum, Angela Sue Fornkohl is an individual health care provider with primary practice located at 1000 N 16Th St Suite G-10, New Castle IN 47362-4319. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Blum, Angela Sue Fornkohl can be contacted via phone (765) 521-0901.

Contact Information

Primary practice address
1000 N 16Th St Suite G-10 New Castle IN 47362-4319
Phone: (765) 521-0901
Fax: (765) 521-9891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01063222A Indiana

Profile Details

NPI number 1013032325
LBN Legal business name Blum, Angela Sue Fornkohl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jan 14th, 2014 - about 10 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 1013032325 NPPES
Indiana Other 000000519955 ANTHEM
Indiana MEDICAID 200861200 ANTHEM

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