Michael V Bloom Phd Llc

LBN: Michael V Bloom Phd Llc
Michael V Bloom Phd Llc is an health care organization with primary practice located at 7920 Kirkland Ct , Portage MI 49024-4974. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Michael V Bloom Phd Llc can be contacted via phone (269) 345-0669, or through Bloom, Michael V via phone (269) 345-0669.

Contact Information

Primary practice address
7920 Kirkland Ct Portage MI 49024-4974
Phone: (269) 345-0669
Fax: (269) 345-5354
Website:
Map and Directions
Authorized official contact:
Name: Bloom, Michael V PHD
Phone: (269) 345-0669

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1073163580
LBN Legal business name Michael V Bloom Phd Llc
DBA Doing business as
Authorized official Bloom, Michael V PHD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2019
Last updated Sep 25th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073163580 NPPES
Michigan Other 6301017079 STATE LICENSE

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