Blum, Susan R
Blum, Susan R is an sole proprietor health care provider with primary practice located at 1010 Haddonfield Berlin Rd , Voorhees NJ 08043-3514. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Blum, Susan R can be contacted via phone (602) 741-6173.Contact Information
Primary practice address
1010 Haddonfield Berlin Rd
Voorhees NJ 08043-3514
Phone: (602) 741-6173
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 37AC00615400 | New Jersey |
Profile Details
| NPI number | 1558022467 |
|---|---|
| LBN Legal business name | Blum, Susan R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2022 |
| Last updated | Jan 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558022467 | NPPES |
| New Jersey | MEDICAID | 37AC00615400 |
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