Bloom, Marc Warren

Bloom, Marc Warren is an sole proprietor health care provider with primary practice located at 8794 Easton Rd , Ottsville PA 18942-9669. He recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Sports Physician, Chiropractic Providers / Rehabilitation, Chiropractic Providers / Chiropractor. Chiropractic Providers / Rehabilitation is his primary health care specialty. Bloom, Marc Warren can be contacted via phone (610) 847-9936.

Contact Information

Primary practice address
8794 Easton Rd Ottsville PA 18942-9669
Phone: (610) 847-9936
Fax: (610) 847-9936
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X DC002902L Pennsylvania
Chiropractic Providers / Rehabilitation 111NR0400X DC002902L Pennsylvania
Chiropractic Providers / Rehabilitation 111NR0400X 1079 Montana
Chiropractic Providers / Sports Physician 111NS0005X 1079 Montana
Chiropractic Providers / Chiropractor 111N00000X 1079 Montana

Profile Details

NPI number 1376502377
LBN Legal business name Bloom, Marc Warren
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2006
Last updated Jul 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376502377 NPPES
Pennsylvania Other 000089742 HIGHMARK BLUE SHIELD ID
Pennsylvania Other 0023261000 HIGHMARK BLUE SHIELD ID

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