Bloemer, Byron C

Bloemer, Byron C is an individual health care provider with primary practice located at 11518 N Port Washington Rd Ste 202 , Mequon WI 53092-3443. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Bloemer, Byron C can be contacted via phone (262) 244-6177.

Contact Information

Primary practice address
11518 N Port Washington Rd Ste 202 Mequon WI 53092-3443
Phone: (262) 244-6177
Fax: (262) 299-3040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 057-2140 Wisconsin

Profile Details

NPI number 1316081698
LBN Legal business name Bloemer, Byron C
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated Jun 15th, 2021 - about 4 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 1316081698 NPPES
Wisconsin MEDICAID 100094192

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