Blumenthal, Steven
Blumenthal, Steven is an individual health care provider with primary practice located at 180 Park Ave , Portland ME 04102-2927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Blumenthal, Steven can be contacted via phone (207) 772-3703.Contact Information
Primary practice address
180 Park Ave
Portland ME 04102-2927
Phone: (207) 772-3703
Fax: (207) 773-1177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 012914 | Maine |
Profile Details
| NPI number | 1275565384 |
|---|---|
| LBN Legal business name | Blumenthal, Steven |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jul 18th, 2023 - about 3 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 | 1275565384 | NPPES |
| Maine | MEDICAID | 296060099 |
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