Bloom, Dawn G

Bloom, Dawn G is an individual health care provider with primary practice located at 9237 Ward Pkwy Suite 101, Kansas City MO 64114-3365. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bloom, Dawn G can be contacted via phone (816) 926-0642.

Contact Information

Primary practice address
9237 Ward Pkwy Suite 101 Kansas City MO 64114-3365
Phone: (816) 926-0642
Fax: (816) 926-0001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY01838 Missouri

Profile Details

NPI number 1992764542
LBN Legal business name Bloom, Dawn G
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1992764542 NPPES
Missouri Other 24668019 BLUE CROSS/BLUE SHIELD

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