Bloomcamp, James

Bloomcamp, James is an sole proprietor health care provider with primary practice located at 600 N Grand Ave , Tahlequah OK 74464-2301. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Bloomcamp, James can be contacted via phone (918) 444-3921.

Contact Information

Primary practice address
600 N Grand Ave Tahlequah OK 74464-2301
Phone: (918) 444-3921
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT339 Oklahoma

Profile Details

NPI number 1063816817
LBN Legal business name Bloomcamp, James
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2014
Last updated Oct 22nd, 2014 - about 11 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 1063816817 NPPES
Oklahoma Other 22 22

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