Bloom, Daniel Edward

Bloom, Daniel Edward is an individual health care provider with primary practice located at Naval Branch Health Clinic Gulfport 5502 Marvin Shields Blvd, Gulfport MS 39501. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bloom, Daniel Edward can be contacted via phone (228) 871-4033.

Contact Information

Primary practice address
Naval Branch Health Clinic Gulfport 5502 Marvin Shields Blvd Gulfport MS 39501
Phone: (228) 871-4033
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1165862

Profile Details

NPI number 1598301632
LBN Legal business name Bloom, Daniel Edward
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2019
Last updated Nov 25th, 2019 - 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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