Blum, Stuart Louis

Blum, Stuart Louis is an individual health care provider with primary practice located at 1811 E Bert Koun Loop Suite 110, Shreveport LA 71105-5740. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Blum, Stuart Louis can be contacted via phone (318) 212-3858.

Contact Information

Primary practice address
1811 E Bert Koun Loop Suite 110 Shreveport LA 71105-5740
Fax: (318) 212-3958
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 07432R Louisiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD.07432R Louisiana

Profile Details

NPI number 1073509535
LBN Legal business name Blum, Stuart Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Aug 18th, 2015 - about 9 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 1073509535 NPPES
Louisiana MEDICAID 1389749

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