Blumenthal, Kenneth Wayne
Blumenthal, Kenneth Wayne is an individual health care provider with primary practice located at 2802 Leonard Dr , Valparaiso IN 46383-7136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blumenthal, Kenneth Wayne can be contacted via phone (219) 531-5855.Contact Information
Primary practice address
2802 Leonard Dr
Valparaiso IN 46383-7136
Phone: (219) 531-5855
Fax: (219) 531-1617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02000639 | Indiana |
Profile Details
| NPI number | 1427053255 |
|---|---|
| LBN Legal business name | Blumenthal, Kenneth Wayne |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | May 8th, 2024 - about 7 months 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 | 1427053255 | NPPES |
| Indiana | Other | 080152596 | RAILROAD MEDICARE |
| Indiana | MEDICAID | 100352990 | RAILROAD MEDICARE |
| Indiana | Other | 000000093874 | RAILROAD MEDICARE |
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