Bloom, Scott
Bloom, Scott is an individual health care provider with primary practice located at 1510 N Broadway St , Hastings MI 49058-1007. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bloom, Scott can be contacted via phone (269) 945-2192.Contact Information
Primary practice address
1510 N Broadway St
Hastings MI 49058-1007
Phone: (269) 945-2192
Fax: (269) 945-3937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4903603 | Michigan |
Profile Details
| NPI number | 1407904188 |
|---|---|
| LBN Legal business name | Bloom, Scott |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Mar 10th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407904188 | NPPES |
| Michigan | MEDICAID | 2813638 |
Popular Providers
-
Sude, Jerome
3510 Manchester Rd , Coventry Township OH 44319-1415 -
Weller, Brian Lee
915 W Green St Ste 101 , Hastings MI 49058-1724 -
Brudner, Peter N.
425 W Central Ave , Lompoc CA 93436-2805 -
Declarke, Sarah
915 W Green St , Hastings MI 49058-1723 -
Smothers-Champley, Debra
900 W Springfield Rd , Taylorville IL 62568-1213 -
Hemmeke, Ann
1761 W M-43 Hwy Suite 1, Hastings MI 49058-8378 -
Choryan, Richard J
803 W State St , Hastings MI 49058-1660 -
Keplinger, Brian Leigh
15 Grandview Dr Ste D, Frankfort KY 40601-3235