Blume, William A.
Blume, William A. is an sole proprietor health care provider with primary practice located at 4501 N 4Th Ave , Evansville IN 47710-3529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blume, William A. can be contacted via phone (812) 422-7212.Contact Information
Primary practice address
4501 N 4Th Ave
Evansville IN 47710-3529
Phone: (812) 422-7212
Fax: (812) 422-7326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01030705 | Indiana |
Profile Details
| NPI number | 1952392490 |
|---|---|
| LBN Legal business name | Blume, William A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Feb 24th, 2022 - about 3 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 | 1952392490 | NPPES |
| Indiana | MEDICAID | 100247160A |
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