Blume, Jerry
Blume, Jerry is an individual health care provider with primary practice located at 1523 Highway 13 E , Burnsville MN 55337-2917. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Blume, Jerry can be contacted via phone (952) 894-4828.Contact Information
Primary practice address
1523 Highway 13 E
Burnsville MN 55337-2917
Phone: (952) 894-4828
Fax: (952) 894-3737
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | LICSW12647 | Minnesota |
Profile Details
NPI number | 1518067701 |
---|---|
LBN Legal business name | Blume, Jerry |
Credentials | LICSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 25th, 2006 |
Last updated | Jul 9th, 2007 - about 17 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 | 1518067701 | NPPES |
Minnesota | Other | HP34163 | HEALTH PARTNERS |
Minnesota | Other | 6261296 | HEALTH PARTNERS |
Minnesota | Other | 340M8BL | HEALTH PARTNERS |
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