Mrs. Angela Sue Fornkohl Blum
M.D. | Pediatrics | Female
Mrs. Angela Sue Fornkohl Blum, M.D. is a New Castle, Indiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mrs. Angela Sue Fornkohl Blum is
1000 N 16th St, Suite G-10, New Castle, Indiana - 47362-4319. She can be contacted on phone at
765-521-0901 and fax number 765-521-9891.
Mrs. Angela Sue Fornkohl Blum is a sole proprietor of her business.
NPI number (Unique professional ID) for Mrs. Angela Sue Fornkohl Blum is
1013032325 which was assigned by NPPES on 20 Mar, 2007 and it was last updated on 14 Jan, 2014.
Mrs. Angela Sue Fornkohl Blum license number is
01063222A for Pediatrics (208000000X) in Indiana.
Mrs. Angela Sue Fornkohl Blum is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mrs. Angela Sue Fornkohl Blum basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mrs. Angela Sue Fornkohl Blum |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Mrs. Angela Sue Fornkohl Blum address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1000 N 16th St, Suite G-10
New Castle, IN, 47362-4319
United States |
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| Phone Number : | 765-521-0901 |
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| Fax Number : | 765-521-9891 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1013032325 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Mar, 2007 |
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| Last Updated On : | 14 Jan, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Angela Sue Fornkohl Blum are as mentioned. Primary taxonomy code for Mrs. Angela Sue Fornkohl Blum, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 01063222A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Mrs. Angela Sue Fornkohl Blum such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000519955 | Other | IN | ANTHEM |
| 200861200 | MEDICAID | IN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 426
New Castle, IN, 47362-0426
United States |
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| Phone Number : | 765-521-0901 |
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| Fax Number : | 765-521-9891 |
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Business Location:
Patients can refer following map for directions to
Mrs. Angela Sue Fornkohl Blum practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.