Bloomsburg, Samuel
Bloomsburg, Samuel is an sole proprietor health care provider with primary practice located at Und Smhs Department Of Surgery 1301 N Columbia Rd, Stop 9037, Grand Forks ND 58202-9037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bloomsburg, Samuel can be contacted via phone (701) 293-4151.Contact Information
Primary practice address
Und Smhs Department Of Surgery 1301 N Columbia Rd, Stop 9037
Grand Forks ND 58202-9037
Phone: (701) 293-4151
Fax: (701) 293-4148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | RL17467 | North Dakota |
Profile Details
| NPI number | 1194394502 |
|---|---|
| LBN Legal business name | Bloomsburg, Samuel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2021 |
| Last updated | Jun 21st, 2021 - about 5 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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