Bloomfield, Robert Lee
Bloomfield, Robert Lee is an sole proprietor health care provider with primary practice located at 1365 Westgate Center Dr Ste G1 , Winston Salem NC 27103-2980. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bloomfield, Robert Lee can be contacted via phone (336) 659-6250.Contact Information
Primary practice address
1365 Westgate Center Dr Ste G1
Winston Salem NC 27103-2980
Phone: (336) 659-6250
Fax: (336) 659-6239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 23104 | North Carolina |
Profile Details
| NPI number | 1962496810 |
|---|---|
| LBN Legal business name | Bloomfield, Robert Lee |
| Credentials | MDMS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Sep 22nd, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962496810 | NPPES |
| North Carolina | MEDICAID | 8916312 |
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