Blundon, Montague
Blundon, Montague is an sole proprietor health care provider with primary practice located at 5640 Shields Dr , Bethesda MD 20817-3573. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Trauma, which is considered as his primary health care specialty. Blundon, Montague can be contacted via phone (301) 897-5505.Contact Information
Primary practice address
5640 Shields Dr
Bethesda MD 20817-3573
Phone: (301) 897-5505
Fax: (301) 897-0887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | D0025637 | Maryland |
Profile Details
| NPI number | 1750341343 |
|---|---|
| LBN Legal business name | Blundon, Montague |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Feb 15th, 2011 - about 13 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 | 1750341343 | NPPES |
| Maryland | MEDICAID | 266081400 |
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