Blume, Rebecca Marie

Blume, Rebecca Marie is an individual health care provider with primary practice located at 3030 Lake Ave Suite 25A, Fort Wayne IN 46805-5428. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Blume, Rebecca Marie can be contacted via phone (260) 422-4096.

Contact Information

Primary practice address
3030 Lake Ave Suite 25A Fort Wayne IN 46805-5428
Fax: (260) 424-2551
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000655A Indiana

Profile Details

NPI number 1679664379
LBN Legal business name Blume, Rebecca Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 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.

Request for update

Popular Providers