Bloom, Richard R
Bloom, Richard R is an individual health care provider with primary practice located at 1900 5Th Ave , Columbus GA 31904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bloom, Richard R can be contacted via phone (706) 576-4474.Contact Information
Primary practice address
1900 5Th Ave
Columbus GA 31904
Phone: (706) 576-4474
Fax: (706) 576-5940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 029589 | Georgia |
Profile Details
| NPI number | 1952481251 |
|---|---|
| LBN Legal business name | Bloom, Richard R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Apr 3rd, 2008 - 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 | 1952481251 | NPPES |
| Georgia | MEDICAID | 00476693 |
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