Bloomfield, Becky
Bloomfield, Becky is an individual health care provider with primary practice located at 5316 Trail Lake Dr , Fort Worth TX 76133-1931. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bloomfield, Becky can be contacted via phone (817) 292-8787.Contact Information
Primary practice address
5316 Trail Lake Dr
Fort Worth TX 76133-1931
Phone: (817) 292-8787
Fax: (817) 789-6849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1154328 | Texas |
Profile Details
| NPI number | 1134395049 |
|---|---|
| LBN Legal business name | Bloomfield, Becky |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2008 |
| Last updated | Mar 11th, 2010 - about 15 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 | 1134395049 | NPPES |
| Texas | MEDICAID | 149984001 |
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