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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 17 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 1659343390 NPPES
Arizona Other ZWCGCR GROUP MEDICARE NUMBER
Arizona MEDICAID 241597 GROUP MEDICARE NUMBER
Arizona Other 290005569 GROUP MEDICARE NUMBER

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