Bloom, Ellen G

Bloom, Ellen G is an sole proprietor health care provider with primary practice located at 19459 Estuary Dr , Boca Raton FL 33498-6202. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Bloom, Ellen G can be contacted via phone (561) 488-4067.

Contact Information

Primary practice address
19459 Estuary Dr Boca Raton FL 33498-6202
Phone: (561) 488-4067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1649575903
LBN Legal business name Bloom, Ellen G
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2011
Last updated Dec 28th, 2012 - about 12 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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