Bloemer, Gary F

Bloemer, Gary F is an individual health care provider with primary practice located at 3 Audubon Plaza Dr Suite 430, Louisville KY 40217-1300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bloemer, Gary F can be contacted via phone (502) 588-9490.

Contact Information

Primary practice address
3 Audubon Plaza Dr Suite 430 Louisville KY 40217-1300
Fax: (502) 272-5116
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 22975 Kentucky

Profile Details

NPI number 1104884550
LBN Legal business name Bloemer, Gary F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Feb 2nd, 2017 - about 7 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 1104884550 NPPES
Kentucky Other 1050981 PASSPORT HEALTH PLAN
Kentucky Other 50027006 PASSPORT HEALTH PLAN
Kentucky Other 3759068000 PASSPORT HEALTH PLAN
Kentucky MEDICAID 64229750 PASSPORT HEALTH PLAN
Kentucky Other 000000062049 PASSPORT HEALTH PLAN
Kentucky Other 000000642552 PASSPORT HEALTH PLAN
Kentucky Other 000052152W PASSPORT HEALTH PLAN
Kentucky Other 1944985 PASSPORT HEALTH PLAN
Kentucky Other 110585 PASSPORT HEALTH PLAN
Kentucky Other 50027006 PASSPORT HEALTH PLAN

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