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
Fax: (952) 894-3737
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518067701 NPPES
Minnesota Other HP34163 HEALTH PARTNERS
Minnesota Other 6261296 HEALTH PARTNERS
Minnesota Other 340M8BL HEALTH PARTNERS

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