Bloomer, Kathleen C

Bloomer, Kathleen C is an individual health care provider with primary practice located at 9 Buzell Ave , Exeter NH 03833-2522. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bloomer, Kathleen C can be contacted via phone (603) 773-5200.

Contact Information

Primary practice address
9 Buzell Ave Exeter NH 03833-2522
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0364802302 New Hampshire

Profile Details

NPI number 1235224429
LBN Legal business name Bloomer, Kathleen C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 18 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 1235224429 NPPES
New Hampshire MEDICAID 30005279

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