Blum, Matthew
Blum, Matthew is an individual health care provider with primary practice located at 525 N Foote Ave Suite 302, Colorado Springs CO 80909-4501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Blum, Matthew can be contacted via phone (719) 365-5445.Contact Information
Primary practice address
525 N Foote Ave Suite 302
Colorado Springs CO 80909-4501
Phone: (719) 365-5445
Fax: (719) 365-5530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 48455 | Colorado |
Profile Details
| NPI number | 1659348480 |
|---|---|
| LBN Legal business name | Blum, Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Feb 17th, 2015 - about 11 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 | 1659348480 | NPPES |
| Colorado | MEDICAID | 78658861 |
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