Bloom, Shari

Bloom, Shari is an individual health care provider with primary practice located at 1665 Bonanza Dr , Park City UT 84060-5127. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bloom, Shari can be contacted via phone (435) 649-7640.

Contact Information

Primary practice address
1665 Bonanza Dr Park City UT 84060-5127
Phone: (435) 649-7640
Fax: (435) 649-1365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X MT0903117 Utah

Profile Details

NPI number 1053564179
LBN Legal business name Bloom, Shari
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2008
Last updated Sep 4th, 2012 - about 12 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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