Bloom, Matthew
Bloom, Matthew is an individual health care provider with primary practice located at 825 N Main St , Canton IL 61520-1264. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bloom, Matthew can be contacted via phone (309) 647-2610.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | 051287329 | Illinois |
Profile Details
NPI number | 1720680804 |
---|---|
LBN Legal business name | Bloom, Matthew |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 12th, 2020 |
Last updated | Nov 12th, 2020 - about 5 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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