Bloom, Susan Jone
Bloom, Susan Jone is an individual health care provider with primary practice located at 731 N Jackson St Ste 510, Milwaukee WI 53202-4697. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Bloom, Susan Jone can be contacted via phone (847) 372-9612.Contact Information
Primary practice address
731 N Jackson St Ste 510
Milwaukee WI 53202-4697
Phone: (847) 372-9612
Fax: (888) 266-8068
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 041-205215 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | 209-006444 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5697 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 5697 | Wisconsin |
Profile Details
NPI number | 1396989141 |
---|---|
LBN Legal business name | Bloom, Susan Jone |
Credentials | PSY. D., APNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 23rd, 2009 |
Last updated | Apr 16th, 2018 - about 6 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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