Blume, Peter A

Blume, Peter A is an individual health care provider with primary practice located at 508 Blake St , New Haven CT 06515-1287. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Blume, Peter A can be contacted via phone (203) 397-0624.

Contact Information

Primary practice address
508 Blake St New Haven CT 06515-1287
Phone: (203) 397-0624
Fax: (203) 397-0372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000581 Connecticut
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 000581 Connecticut
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 000581 Connecticut
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000581 Connecticut

Profile Details

NPI number 1376526814
LBN Legal business name Blume, Peter A
Credentials DPMFACFAS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Nov 15th, 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 1376526814 NPPES
Connecticut MEDICAID 004121414

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