Sprouse Blum, Adam
Sprouse Blum, Adam is an individual health care provider with primary practice located at 111 Colchester Ave , Burlington VT 05401-1473. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Sprouse Blum, Adam can be contacted via phone (802) 847-2788.Contact Information
Primary practice address
111 Colchester Ave
Burlington VT 05401-1473
Phone: (802) 847-2788
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | New York | |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 0420013047 | Vermont |
Profile Details
| NPI number | 1396090254 |
|---|---|
| LBN Legal business name | Sprouse Blum, Adam |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2012 |
| Last updated | Jan 31st, 2017 - about 8 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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