Bloom, Peter

Bloom, Peter is an sole proprietor health care provider with primary practice located at 1707 Belle View Blvd , Alexandria VA 22307-6727. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bloom, Peter can be contacted via phone (703) 765-5675.

Contact Information

Primary practice address
1707 Belle View Blvd Alexandria VA 22307-6727
Phone: (703) 765-5675
Fax: (703) 765-6115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810000667 Virginia

Profile Details

NPI number 1720144306
LBN Legal business name Bloom, Peter
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
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.

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