Bloom, Rebecca A

Bloom, Rebecca A is an individual health care provider with primary practice located at 1145 S Utica Ave Ste 110, Tulsa OK 74104-4012. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is her primary health care specialty. Bloom, Rebecca A can be contacted via phone (918) 579-6863.

Contact Information

Primary practice address
1145 S Utica Ave Ste 110 Tulsa OK 74104-4012
Phone: (918) 579-6863
Fax: (918) 579-6869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2004015684 Missouri
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X 26032 Oklahoma

Profile Details

NPI number 1841207149
LBN Legal business name Bloom, Rebecca A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Dec 15th, 2016 - about 8 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 1841207149 NPPES
Missouri MEDICAID 243419306
Missouri Other 200080180A

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