Bloomfield, Amy Jo

Bloomfield, Amy Jo is an individual health care provider with primary practice located at Rr 1 Box 1103 , Fayetteville WV 25840-9731. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bloomfield, Amy Jo can be contacted via phone (304) 237-5196.

Contact Information

Primary practice address
Rr 1 Box 1103 Fayetteville WV 25840-9731
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-0582 West Virginia

Profile Details

NPI number 1437337870
LBN Legal business name Bloomfield, Amy Jo
Credentials M.A., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2008
Last updated Feb 7th, 2008 - about 17 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 1437337870 NPPES
West Virginia MEDICAID 0154596000

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