Bloom, Erika L.

Bloom, Erika L. is an individual health care provider with primary practice located at 1030 President Ave Ste 1004, Fall River MA 02720-5923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bloom, Erika L. can be contacted via phone (508) 973-9600.

Contact Information

Primary practice address
1030 President Ave Ste 1004 Fall River MA 02720-5923
Fax: (508) 973-9615
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA896 Massachusetts

Profile Details

NPI number 1437146545
LBN Legal business name Bloom, Erika L.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jan 7th, 2016 - about 10 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 1437146545 NPPES
Rhode Island MEDICAID EB78558

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