Bloor, Nicole Anne

Bloor, Nicole Anne is an individual health care provider with primary practice located at 888 Main St Ste 101 , Wakefield MA 01880-4080. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Bloor, Nicole Anne can be contacted via phone (781) 620-4888.

Contact Information

Primary practice address
888 Main St Ste 101 Wakefield MA 01880-4080
Fax: (781) 245-2602
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 80960 Massachusetts
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 80960 Massachusetts

Profile Details

NPI number 1861468233
LBN Legal business name Bloor, Nicole Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Mar 2nd, 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 1861468233 NPPES
Massachusetts Other 0401949 UH
Massachusetts Other 66934 UH
Massachusetts MEDICAID 9700480 UH
Massachusetts Other 989581 UH
Massachusetts Other J31895 UH
Massachusetts Other B10318801 UH
Massachusetts Other 080960 UH
Massachusetts Other M17510 UH
Massachusetts MEDICAID 3140016 UH

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