Bloss, John R

Bloss, John R is an individual health care provider with primary practice located at 506 N Acadia Rd , Thibodaux LA 70301-4862. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Bloss, John R can be contacted via phone (985) 448-1216.

Contact Information

Primary practice address
506 N Acadia Rd Thibodaux LA 70301-4862
Phone: (985) 448-1216
Fax: (985) 446-8765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 021082 Louisiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD.021082 Louisiana

Profile Details

NPI number 1841394285
LBN Legal business name Bloss, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Apr 10th, 2013 - about 12 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 1841394285 NPPES
Louisiana MEDICAID 1991180
Louisiana Other 0700315
Louisiana Other 5397025

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