Bloomer, Philip

Bloomer, Philip is an individual health care provider with primary practice located at 800 20Th St , Huntington WV 25703-1850. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bloomer, Philip can be contacted via phone (304) 696-8700.

Contact Information

Primary practice address
800 20Th St Huntington WV 25703-1850
Phone: (304) 696-8700
Fax: (304) 636-8701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5152 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X DP00945355 West Virginia

Profile Details

NPI number 1265864425
LBN Legal business name Bloomer, Philip
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2013
Last updated Sep 11th, 2018 - about 7 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 1265864425 NPPES
Kentucky MEDICAID 30610026

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