Blum, Stuart Louis
Blum, Stuart Louis is an individual health care provider with primary practice located at 1811 E Bert Koun Loop Suite 110, Shreveport LA 71105-5740. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Blum, Stuart Louis can be contacted via phone (318) 212-3858.Contact Information
Primary practice address
1811 E Bert Koun Loop Suite 110
Shreveport LA 71105-5740
Phone: (318) 212-3858
Fax: (318) 212-3958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 07432R | Louisiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD.07432R | Louisiana |
Profile Details
| NPI number | 1073509535 |
|---|---|
| LBN Legal business name | Blum, Stuart Louis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Aug 18th, 2015 - about 10 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 | 1073509535 | NPPES |
| Louisiana | MEDICAID | 1389749 |
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