Bloom, Robert E.

Bloom, Robert E. is an individual health care provider with primary practice located at 22301 Foster Winter Dr 2Nd Floor, Southfield MI 48075-3707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Bloom, Robert E. can be contacted via phone (248) 552-0620.

Contact Information

Primary practice address
22301 Foster Winter Dr 2Nd Floor Southfield MI 48075-3707
Phone: (248) 552-0620
Fax: (248) 552-0286
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X RB041036 Michigan

Profile Details

NPI number 1760413389
LBN Legal business name Bloom, Robert E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Feb 18th, 2011 - about 14 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 1760413389 NPPES
Michigan MEDICAID 104130943

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