Bloom, Robert
Bloom, Robert is an individual health care provider with primary practice located at 5384 Poplar Ave Suite 313, Memphis TN 38119-3609. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bloom, Robert can be contacted via phone (901) 521-9671.Contact Information
Primary practice address
5384 Poplar Ave Suite 313
Memphis TN 38119-3609
Phone: (901) 521-9671
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | P0376 | Tennessee |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 04-4P | Arkansas |
Profile Details
| NPI number | 1730161910 |
|---|---|
| LBN Legal business name | Bloom, Robert |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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