Bloomberg, Richard D

Bloomberg, Richard D is an individual health care provider with primary practice located at 550 Orchard Park Rd A103, West Seneca NY 14224-2646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bloomberg, Richard D can be contacted via phone (716) 677-5500.

Contact Information

Primary practice address
550 Orchard Park Rd A103 West Seneca NY 14224-2646
Phone: (716) 677-5500
Fax: (716) 677-5008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 241414 New York

Profile Details

NPI number 1770577330
LBN Legal business name Bloomberg, Richard D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Dec 3rd, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770577330 NPPES
Other 2115139 INDEPENDENT HEALTH
Other 0192612 INDEPENDENT HEALTH
MEDICAID 02591862 INDEPENDENT HEALTH
Other 241414-2W INDEPENDENT HEALTH
Other 000415467003 INDEPENDENT HEALTH
Other P00475424 INDEPENDENT HEALTH
Other 00028422901 INDEPENDENT HEALTH

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