Bloom, David J
Bloom, David J is an sole proprietor health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-9800. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bloom, David J can be contacted via phone (570) 271-5555.Contact Information
Primary practice address
100 N Academy Ave
Danville PA 17822-9800
Phone: (570) 271-5555
Fax: (570) 271-6578
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA001742L | Pennsylvania |
Profile Details
NPI number | 1760414940 |
---|---|
LBN Legal business name | Bloom, David J |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 7th, 2006 |
Last updated | Sep 22nd, 2008 - about 16 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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