Bloom, Andria Anita

Bloom, Andria Anita is an individual health care provider with primary practice located at 1162 S. Burlington Boulevard , Burlington WA 98233. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bloom, Andria Anita can be contacted via phone (360) 757-9030.

Contact Information

Primary practice address
1162 S. Burlington Boulevard Burlington WA 98233
Fax: (360) 757-4501
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X PA60247828 Washington

Profile Details

NPI number 1528343258
LBN Legal business name Bloom, Andria Anita
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2011
Last updated Oct 13th, 2011 - about 15 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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