Bloomer, Roger Earl

Bloomer, Roger Earl is an individual health care provider with primary practice located at 2200 Springport Rd Ste 500 , Jackson MI 49202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bloomer, Roger Earl can be contacted via phone (517) 205-3273.

Contact Information

Primary practice address
2200 Springport Rd Ste 500 Jackson MI 49202
Phone: (517) 205-3273
Fax: (517) 205-1698
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 4301075147 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301075147 Michigan

Profile Details

NPI number 1235196486
LBN Legal business name Bloomer, Roger Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Sep 29th, 2023 - about 3 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 1235196486 NPPES
Michigan MEDICAID 104578484

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