Blum, Natalie

Blum, Natalie is an sole proprietor health care provider with primary practice located at 22101 Moross Rd , Detroit MI 48236-2148. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Blum, Natalie can be contacted via phone (313) 343-4000.

Contact Information

Primary practice address
22101 Moross Rd Detroit MI 48236-2148
Phone: (313) 343-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5101024630 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5101022612 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5315077006 Michigan

Profile Details

NPI number 1689024606
LBN Legal business name Blum, Natalie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2016
Last updated Jul 25th, 2022 - about 4 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 1689024606 NPPES
Michigan Other 5315204965 CONTROLLED SUBSTANCE, STATE OF MICHIGAN
Michigan Other 5101024630 CONTROLLED SUBSTANCE, STATE OF MICHIGAN

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