Bloch, Amy Jean

Bloch, Amy Jean is an individual health care provider with primary practice located at 809 82Nd Pkwy , Myrtle Beach SC 29572-4607. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Bloch, Amy Jean can be contacted via phone (843) 497-5929.

Contact Information

Primary practice address
809 82Nd Pkwy Myrtle Beach SC 29572-4607
Fax: (843) 497-6601
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 061210 Georgia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 33456 South Carolina

Profile Details

NPI number 1275709024
LBN Legal business name Bloch, Amy Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2008
Last updated Oct 25th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275709024 NPPES
South Carolina MEDICAID G61210

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