Kornblum, Martin
Kornblum, Martin is an individual health care provider with primary practice located at 11885 E 12 Mile Rd 200B, Warren MI 48093-3474. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Kornblum, Martin can be contacted via phone (586) 582-7070.Contact Information
Primary practice address
11885 E 12 Mile Rd 200B
Warren MI 48093-3474
Phone: (586) 582-7070
Fax: (586) 582-7066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 4301063387 | Michigan |
Profile Details
| NPI number | 1679562722 |
|---|---|
| LBN Legal business name | Kornblum, Martin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1679562722 | NPPES |
| Michigan | MEDICAID | 4209319 |
Popular Providers
-
Dinkins, Juan S
127 Crestview Park Dr , Dickson TN 37055-2850 -
Chamberlin, Eric C
500 W Berkeley St , Uniontown PA 15401-5514 -
Albright, Daniel J
3001 Edwards Mill Rd Suite 200, Raleigh NC 27612-5243 -
Crawford, Mark K
2901 Transport St Se , Albuquerque NM 87106 -
Al-Attar, Paul
11012 E 13 Mile Rd Ste 201 , Warren MI 48093-2547 -
Alongi, Paul R
206 East Jericho Turnpike , Huntington Station NY 11747 -
Schwartz, Arnold M
206 East Jericho Turnpike , Huntington Station NY 11746 -
Nelson, Leonard D
3001 Edwards Mill Rd , Raleigh NC 27612-5243