Bloom, Bob H
Bloom, Bob H is an individual health care provider with primary practice located at 1021 Quarrier Street Suite 517 Medical Arts Building, Charleston WV 25301. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bloom, Bob H can be contacted via phone (304) 345-7272.Contact Information
Primary practice address
1021 Quarrier Street Suite 517 Medical Arts Building
Charleston WV 25301
Phone: (304) 345-7272
Fax: (304) 345-7287
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2919 | West Virginia |
Profile Details
| NPI number | 1396875043 |
|---|---|
| LBN Legal business name | Bloom, Bob H |
| Credentials | GENERAL DENTIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396875043 | NPPES |
| West Virginia | MEDICAID | 0136305000 |
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