Bloomwald, Tobi E.
Bloomwald, Tobi E. is an individual health care provider with primary practice located at 200 Copeland Dr , Mansfield MA 02048-1225. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bloomwald, Tobi E. can be contacted via phone (508) 339-4144.Contact Information
Primary practice address
200 Copeland Dr
Mansfield MA 02048-1225
Phone: (508) 339-4144
Fax: (508) 261-9940
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 110143 | Massachusetts |
Profile Details
NPI number | 1790939890 |
---|---|
LBN Legal business name | Bloomwald, Tobi E. |
Credentials | LICSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 17th, 2008 |
Last updated | Nov 16th, 2018 - about 6 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 | 1790939890 | NPPES |
Massachusetts | MEDICAID | 1309161 |
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