Blum, David Richard

Blum, David Richard is an individual health care provider with primary practice located at 501 Colliers Way , Weirton WV 26062-5003. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Blum, David Richard can be contacted via phone (304) 723-5440.

Contact Information

Primary practice address
501 Colliers Way Weirton WV 26062-5003
Phone: (304) 723-5440
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 464 West Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 464 West Virginia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 464 West Virginia

Profile Details

NPI number 1285794644
LBN Legal business name Blum, David Richard
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jan 25th, 2012 - about 13 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 1285794644 NPPES
West Virginia Other 001719066 BCBS
West Virginia MEDICAID 0165132000 BCBS

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