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:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992764542 | NPPES |
| Missouri | Other | 24668019 | BLUE CROSS/BLUE SHIELD |
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