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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700865680 NPPES
Pennsylvania MEDICAID 01887735

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