Bloom, Tracy James
Bloom, Tracy James is an individual health care provider with primary practice located at 100 Great Oaks Blvd Suite 106, Albany NY 12203-7924. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bloom, Tracy James can be contacted via phone (518) 464-3611.Contact Information
Primary practice address
100 Great Oaks Blvd Suite 106
Albany NY 12203-7924
Phone: (518) 464-3611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | X007387-1 | New York |
Profile Details
| NPI number | 1396707212 |
|---|---|
| LBN Legal business name | Bloom, Tracy James |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Jul 21st, 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 | 1396707212 | NPPES |
| New York | Other | C07387-6W | WORKERS COMPENSATION |
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