Bloomstine, Mark T

Bloomstine, Mark T is an individual health care provider with primary practice located at 2315 Myrtle St Ste L10 , Erie PA 16502-4611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bloomstine, Mark T can be contacted via phone (814) 454-2401.

Contact Information

Primary practice address
2315 Myrtle St Ste L10 Erie PA 16502-4611
Phone: (814) 454-2401
Fax: (814) 459-5992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD044032L Pennsylvania

Profile Details

NPI number 1144285560
LBN Legal business name Bloomstine, Mark T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Sep 30th, 2020 - about 4 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 1144285560 NPPES
Pennsylvania Other 000665455 HIGHMARK
Pennsylvania MEDICAID 0012416530002 HIGHMARK
Pennsylvania Other 200019047 HIGHMARK

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