Bloomberg, Brad E.
Bloomberg, Brad E. is an sole proprietor health care provider with primary practice located at 1449 Boardman Canfield Rd Ste 230 , Boardman OH 44512-8053. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bloomberg, Brad E. can be contacted via phone (330) 758-6671.Contact Information
Primary practice address
1449 Boardman Canfield Rd Ste 230
Boardman OH 44512-8053
Phone: (330) 758-6671
Fax: (330) 758-1451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4008/T-032 | Ohio |
Profile Details
| NPI number | 1962596478 |
|---|---|
| LBN Legal business name | Bloomberg, Brad E. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Sep 18th, 2020 - about 5 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 | 1962596478 | NPPES |
| Ohio | MEDICAID | 0754045 |
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