Blum, Miriam Allison
Blum, Miriam Allison is an individual health care provider with primary practice located at 801 7Th Ave , Fort Worth TX 76104-2733. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Blum, Miriam Allison can be contacted via phone (682) 885-1475.Contact Information
Primary practice address
801 7Th Ave
Fort Worth TX 76104-2733
Phone: (682) 885-1475
Fax: (682) 885-7520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | P3857 | Texas |
Profile Details
| NPI number | 1013139534 |
|---|---|
| LBN Legal business name | Blum, Miriam Allison |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Aug 1st, 2013 - about 12 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 | 1013139534 | NPPES |
| Georgia | MEDICAID | 121521945A |
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