Bloom, William S.

Bloom, William S. is an individual health care provider with primary practice located at 80 S Main St , Hanover NH 03755-2053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bloom, William S. can be contacted via phone (603) 643-3232.

Contact Information

Primary practice address
80 S Main St Hanover NH 03755-2053
Phone: (603) 643-3232
Fax: (603) 643-1877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 042-0011254 Vermont

Profile Details

NPI number 1285664821
LBN Legal business name Bloom, William S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Aug 1st, 2007 - about 17 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 1285664821 NPPES
Vermont MEDICAID 0009344

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