Bloom, Steven Mark

Bloom, Steven Mark is an individual health care provider with primary practice located at 1935 Bluegrass Ave Suite 200, Louisville KY 40215-1179. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Bloom, Steven Mark can be contacted via phone (502) 895-0040.

Contact Information

Primary practice address
1935 Bluegrass Ave Suite 200 Louisville KY 40215-1179
Phone: (502) 895-0040
Fax: (502) 361-4488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 26932 Kentucky
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 26932 Kentucky

Profile Details

NPI number 1346224409
LBN Legal business name Bloom, Steven Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Jun 10th, 2021 - about 4 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 1346224409 NPPES
Kentucky MEDICAID 64269327
Kentucky MEDICAID 300050485

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