Blum, Larry Webster
Blum, Larry Webster is an individual health care provider with primary practice located at 203 Hospital Dr Ste 200 , Glen Burnie MD 21061-6905. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Blum, Larry Webster can be contacted via phone (410) 553-8160.Contact Information
Primary practice address
203 Hospital Dr Ste 200
Glen Burnie MD 21061-6905
Phone: (410) 553-8160
Fax: (410) 553-8159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | D37246 | Maryland |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | D37246 | Maryland |
Profile Details
| NPI number | 1053300962 |
|---|---|
| LBN Legal business name | Blum, Larry Webster |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Jan 29th, 2020 - about 4 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 | 1053300962 | NPPES |
| Maryland | MEDICAID | 548571100 | |
| Maryland | Other | 165767 |
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