Bloom, Michael David
Bloom, Michael David is an sole proprietor health care provider with primary practice located at 316 Wesley Ave , Ocean City NJ 08226-4039. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bloom, Michael David can be contacted via phone (609) 399-0227.Contact Information
Primary practice address
316 Wesley Ave
Ocean City NJ 08226-4039
Phone: (609) 399-0227
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 22DI01425500 | New Jersey |
Profile Details
| NPI number | 1790703700 |
|---|---|
| LBN Legal business name | Bloom, Michael David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790703700 | NPPES |
| New Jersey | MEDICAID | 3361101 |
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