Blum, Haywood

Blum, Haywood is an individual health care provider with primary practice located at Good Samaritan Regional Medical Center, Emergency Dept 700 E Norwegian St, Pottsville PA 17901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Blum, Haywood can be contacted via phone (570) 621-4656.

Contact Information

Primary practice address
Good Samaritan Regional Medical Center, Emergency Dept 700 E Norwegian St Pottsville PA 17901
Phone: (570) 621-4656
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD027475E Pennsylvania

Profile Details

NPI number 1689623324
LBN Legal business name Blum, Haywood
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Dec 26th, 2007 - about 19 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 1689623324 NPPES
Pennsylvania MEDICAID 0012931210014

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