Blumenthal, Bruce

Blumenthal, Bruce is an individual health care provider with primary practice located at 1860 Reisterstown Rd , Pikesville MD 21208-1335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blumenthal, Bruce can be contacted via phone (410) 415-5105.

Contact Information

Primary practice address
1860 Reisterstown Rd Pikesville MD 21208-1335
Phone: (410) 415-5105
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0024242 Maryland

Profile Details

NPI number 1871562637
LBN Legal business name Blumenthal, Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Feb 7th, 2019 - about 5 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 1871562637 NPPES
Other 0101480 EVERCARE
Other 35210202 EVERCARE
Other 9676-0004 EVERCARE
Other 093NER-352102-02 EVERCARE
Other 522096682001 EVERCARE
Other 0943ER-352102-04 EVERCARE
MEDICAID 008203100 EVERCARE
MEDICAID 318541900 EVERCARE
Other T106-0038 EVERCARE
Other 093NSE-352102-02 EVERCARE

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