Bloom, John
Bloom, John is an individual health care provider with primary practice located at 1501 N Campbell Ave , Tucson AZ 85724-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Bloom, John can be contacted via phone (520) 874-3500.Contact Information
Primary practice address
1501 N Campbell Ave
Tucson AZ 85724-0001
Phone: (520) 874-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 13475 | Arizona |
Profile Details
| NPI number | 1659343390 |
|---|---|
| LBN Legal business name | Bloom, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | May 16th, 2008 - about 18 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 | 1659343390 | NPPES |
| Arizona | Other | ZWCGCR | GROUP MEDICARE NUMBER |
| Arizona | MEDICAID | 241597 | GROUP MEDICARE NUMBER |
| Arizona | Other | 290005569 | GROUP MEDICARE NUMBER |
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