Dale C Blum
Emergency Medical Services
1105 6th St
Traverse City
, Michigan 49684-2349
Dale C Blum
Emergency Medical Services
1105 6th St
Traverse City
, Michigan 49684-2349
(801) 740-2847
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Dale C Blum
- 1105 6th St
- Traverse City, MI
- Zip : 49684-2349
- Fax : (801) 740-2847
- Phone : (231) 947-0673
Second Address
- Dale C Blum
- 1105 6th St
- Traverse City, MI
- Zip : 49684-2349
- Fax : (801) 740-2847
- Phone : (231) 947-0673
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | 4301032260 | MI |
National Provider Identifier
| NPI | 1053316588 |
|---|---|
| Provider Name | Dale C Blum |
| First Address | Traverse City, MI 49684-2349 |
| Second Address | Traverse City, MI 49684-2349 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2005 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.