Bloom, Johnnie

Bloom, Johnnie is an sole proprietor health care provider with primary practice located at 260 Beacon St , Somerville MA 02143-3534. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Bloom, Johnnie can be contacted via phone (617) 661-5700.

Contact Information

Primary practice address
260 Beacon St Somerville MA 02143-3534
Phone: (617) 661-5700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 53794 Massachusetts

Profile Details

NPI number 1659456952
LBN Legal business name Bloom, Johnnie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 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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