Bloomberg, Jason Michael
Bloomberg, Jason Michael is an sole proprietor health care provider with primary practice located at 3100 Henderson Dr Suite 9, Cheyenne WY 82001-5846. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bloomberg, Jason Michael can be contacted via phone (307) 426-4673.Contact Information
Primary practice address
3100 Henderson Dr Suite 9
Cheyenne WY 82001-5846
Phone: (307) 426-4673
Fax: (307) 426-4674
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 6713A | Wyoming |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 6713A | Wyoming |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22927 | Nebraska |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11910 | Nevada |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 11910 | Nevada |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 22927 | Nebraska |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 11910 | Nevada |
| Allopathic & Osteopathic Physicians / Obesity Medicine | 207QB0002X | 6713A | Wyoming |
Profile Details
| NPI number | 1588772115 |
|---|---|
| LBN Legal business name | Bloomberg, Jason Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2006 |
| Last updated | May 8th, 2008 - about 16 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 | 1588772115 | NPPES |
| Wyoming | MEDICAID | 119416000 | |
| Wyoming | MEDICAID | 100509999 | |
| Wyoming | MEDICAID | 1005509998 |
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