Blum, Walter B
Blum, Walter B is an sole proprietor health care provider with primary practice located at 409 E Madison St , Dillon SC 29536-2555. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Blum, Walter B can be contacted via phone (843) 774-0800.Contact Information
Primary practice address
409 E Madison St
Dillon SC 29536-2555
Phone: (843) 774-0800
Fax: (843) 774-0499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 14202 | South Carolina |
Profile Details
| NPI number | 1780613364 |
|---|---|
| LBN Legal business name | Blum, Walter B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Dec 10th, 2007 - about 18 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 | 1780613364 | NPPES |
| South Carolina | MEDICAID | 142027 |
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