Bloss, Marion Dean
Bloss, Marion Dean is an individual health care provider with primary practice located at 26245 Highway 82 , Park Hill OK 74451-2802. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bloss, Marion Dean can be contacted via phone (918) 431-0505.Contact Information
Primary practice address
26245 Highway 82
Park Hill OK 74451-2802
Phone: (918) 431-0505
Fax: (918) 431-1155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 7352 | Oklahoma |
Profile Details
| NPI number | 1528103363 |
|---|---|
| LBN Legal business name | Bloss, Marion Dean |
| Credentials | Doctor of Public Health (DPH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1528103363 | NPPES |
| Oklahoma | Other | 7352 | STATE PHARMACY LICENSE |
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