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
Phone: (781) 620-4888
Fax: (781) 245-2602
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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