Birnbaum, Alan J

Birnbaum, Alan J is an sole proprietor health care provider with primary practice located at 100 Navarre Pl Suite 5570, South Bend IN 46601-1169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Birnbaum, Alan J can be contacted via phone (574) 233-6620.

Contact Information

Primary practice address
100 Navarre Pl Suite 5570 South Bend IN 46601-1169
Phone: (574) 233-6620
Fax: (574) 233-6224
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 01039340 Indiana
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 01039340A Indiana

Profile Details

NPI number 1124057419
LBN Legal business name Birnbaum, Alan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2006
Last updated Dec 14th, 2007 - about 18 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 1124057419 NPPES
Indiana Other 000000226107 BLUE CROSS

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