Blum, Jeffrey T
Blum, Jeffrey T is an individual health care provider with primary practice located at 435 Scranton Carbondale Highway , Scranton PA 18508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Blum, Jeffrey T can be contacted via phone (570) 343-4334.Contact Information
Primary practice address
435 Scranton Carbondale Highway
Scranton PA 18508
Phone: (570) 343-4334
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD418749 | Pennsylvania |
Profile Details
| NPI number | 1700865680 |
|---|---|
| LBN Legal business name | Blum, Jeffrey T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Dec 1st, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700865680 | NPPES |
| Pennsylvania | MEDICAID | 01887735 |
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