Bloom, Peter
Bloom, Peter is an sole proprietor health care provider with primary practice located at 1707 Belle View Blvd , Alexandria VA 22307-6727. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bloom, Peter can be contacted via phone (703) 765-5675.Contact Information
Primary practice address
1707 Belle View Blvd
Alexandria VA 22307-6727
Phone: (703) 765-5675
Fax: (703) 765-6115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810000667 | Virginia |
Profile Details
| NPI number | 1720144306 |
|---|---|
| LBN Legal business name | Bloom, Peter |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jul 8th, 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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