Blum, Keith S
Blum, Keith S is an individual health care provider with primary practice located at 7271 West Sahara Suite 100, Las Vegas NV 89117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Blum, Keith S can be contacted via phone (702) 240-4090.Contact Information
Primary practice address
7271 West Sahara Suite 100
Las Vegas NV 89117
Phone: (702) 240-4090
Fax: (702) 240-4091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 1121 | Nevada |
Profile Details
| NPI number | 1558417345 |
|---|---|
| LBN Legal business name | Blum, Keith S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Feb 14th, 2020 - about 5 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 | 1558417345 | NPPES |
| Nevada | MEDICAID | 100502549 | |
| Nevada | Other | 1456305995 |
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