Bloom, William S

Bloom, William S is an individual health care provider with primary practice located at 11300 East Thirteen Mile Road , Warren MI 48093. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Bloom, William S can be contacted via phone (586) 573-7777.

Contact Information

Primary practice address
11300 East Thirteen Mile Road Warren MI 48093
Phone: (586) 573-7777
Fax: (586) 573-7584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 2901010395 Michigan

Profile Details

NPI number 1215950100
LBN Legal business name Bloom, William S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215950100 NPPES
Michigan MEDICAID 2642399

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