Blumer, Bryan Neil

Blumer, Bryan Neil is an individual health care provider with primary practice located at 2614 Ne Kresky Ave , Chehalis WA 98532-2412. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Blumer, Bryan Neil can be contacted via phone (360) 330-9595.

Contact Information

Primary practice address
2614 Ne Kresky Ave Chehalis WA 98532-2412
Phone: (360) 330-9595
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA61178625 Washington

Profile Details

NPI number 1952985194
LBN Legal business name Blumer, Bryan Neil
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2021
Last updated Sep 7th, 2021 - about 5 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 1952985194 NPPES
Washington MEDICAID 2178618

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