Bloom, Charles

Bloom, Charles is an individual health care provider with primary practice located at 1800 W Charleston Blvd University Medical Center, Las Vegas NV 89102-2329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bloom, Charles can be contacted via phone (702) 383-1958.

Contact Information

Primary practice address
1800 W Charleston Blvd University Medical Center Las Vegas NV 89102-2329
Phone: (702) 383-1958
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 510104304 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1111 Nevada

Profile Details

NPI number 1548202526
LBN Legal business name Bloom, Charles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Feb 20th, 2009 - about 16 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 1548202526 NPPES
Michigan MEDICAID 114835231
Michigan Other CB014304

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