Bloom, Fred A.

Bloom, Fred A. is an sole proprietor health care provider with primary practice located at 67 Silver Street , Waterville ME 04901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bloom, Fred A. can be contacted via phone (207) 873-1636.

Contact Information

Primary practice address
67 Silver Street Waterville ME 04901
Phone: (207) 873-1636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 007673 Maine

Profile Details

NPI number 1104822881
LBN Legal business name Bloom, Fred A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2005
Last updated Jul 9th, 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.

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