Blunden, Paul S

Blunden, Paul S is an individual health care provider with primary practice located at 29751 Little Mack Ave Suite B, Roseville MI 48066-2238. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Blunden, Paul S can be contacted via phone (586) 415-6200.

Contact Information

Primary practice address
29751 Little Mack Ave Suite B Roseville MI 48066-2238
Phone: (586) 415-6200
Fax: (586) 415-6217
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 406742 Michigan

Profile Details

NPI number 1427058957
LBN Legal business name Blunden, Paul S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Feb 16th, 2010 - about 16 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 1427058957 NPPES
Michigan Other 0E061676161 MEDICARE PROVIDER ID
Michigan MEDICAID 2641140 MEDICARE PROVIDER ID

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