Bloomgarden, Daniel C
Bloomgarden, Daniel C is an individual health care provider with primary practice located at 6150 West Latyon Avenue , Greenfield WI 53220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bloomgarden, Daniel C can be contacted via phone (414) 282-4100.Contact Information
Primary practice address
6150 West Latyon Avenue
Greenfield WI 53220
Phone: (414) 282-4100
Fax: (414) 282-4108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 44760020 | Wisconsin |
Profile Details
| NPI number | 1821019639 |
|---|---|
| LBN Legal business name | Bloomgarden, Daniel C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1821019639 | NPPES |
| Wisconsin | MEDICAID | 34263100 |
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