Bloom, Ronald
Bloom, Ronald is an individual health care provider with primary practice located at 8205 E 56Th St Suite 250, Indianapolis IN 46216-1003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bloom, Ronald can be contacted via phone (317) 353-8985.Contact Information
Primary practice address
8205 E 56Th St Suite 250
Indianapolis IN 46216-1003
Phone: (317) 353-8985
Fax: (317) 353-2389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 01035959A | Indiana |
Profile Details
| NPI number | 1740275023 |
|---|---|
| LBN Legal business name | Bloom, Ronald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Nov 16th, 2022 - about 2 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 | 1740275023 | NPPES |
| Indiana | MEDICAID | 100363180 |
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