Blumenfeld, Bruce

Blumenfeld, Bruce is an individual health care provider with primary practice located at 1650 Walnut St , Harrisburg PA 17103-2350. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Blumenfeld, Bruce can be contacted via phone (717) 230-3958.

Contact Information

Primary practice address
1650 Walnut St Harrisburg PA 17103-2350
Phone: (717) 230-3958
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DS020070L Pennsylvania

Profile Details

NPI number 1790830289
LBN Legal business name Blumenfeld, Bruce
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790830289 NPPES
Pennsylvania MEDICAID 00051630200001

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