R Lamont Bloom Md Pa

LBN: R Lamont Bloom Md Pa
R Lamont Bloom Md Pa is an health care organization with primary practice located at 406 E Central Ave , Wichita KS 67202-1058. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. R Lamont Bloom Md Pa can be contacted via phone (316) 265-0705, or through Bloom, R. Lamont via phone (316) 265-0705.

Contact Information

Primary practice address
406 E Central Ave Wichita KS 67202-1058
Phone: (316) 265-0705
Fax: (316) 265-0785
Website:
Map and Directions
Authorized official contact:
Name: Bloom, R. Lamont Doctor of Medicine (MD)
Phone: (316) 265-0705

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 04-18702 Kansas

Profile Details

NPI number 1497023741
LBN Legal business name R Lamont Bloom Md Pa
DBA Doing business as
Authorized official Bloom, R. Lamont Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2011
Last updated Dec 1st, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497023741 NPPES
Kansas MEDICAID 100195740A

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