Bloom, Stephen A
Bloom, Stephen A is an individual health care provider with primary practice located at 5100 W 110Th St Ste 200 , Overland Park KS 66211-1215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bloom, Stephen A can be contacted via phone (913) 253-3000.Contact Information
Primary practice address
5100 W 110Th St Ste 200
Overland Park KS 66211-1215
Phone: (913) 253-3000
Fax: (913) 663-2980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 329171 | Louisiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | R6G52 | Missouri |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0421697 | Kansas |
Profile Details
| NPI number | 1972552552 |
|---|---|
| LBN Legal business name | Bloom, Stephen A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Jan 24th, 2022 - about 3 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 | 1972552552 | NPPES |
| Missouri | Other | P00475776 | RAILROAD MEDICARE |
| Missouri | Other | K676856 | RAILROAD MEDICARE |
| Missouri | Other | K67A00045 | RAILROAD MEDICARE |
| Missouri | MEDICAID | 100205960A | RAILROAD MEDICARE |
| Missouri | MEDICAID | 202401410 | RAILROAD MEDICARE |
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