Blossom, David B
Blossom, David B is an individual health care provider with primary practice located at 6115 Powers Blvd #205, Parma OH 44129-5471. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Blossom, David B can be contacted via phone (440) 884-2909.Contact Information
Primary practice address
6115 Powers Blvd #205
Parma OH 44129-5471
Phone: (440) 884-2909
Fax: (440) 884-3766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 35086446 | Ohio |
Profile Details
| NPI number | 1255501557 |
|---|---|
| LBN Legal business name | Blossom, David B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2008 |
| Last updated | Aug 7th, 2008 - 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 | 1255501557 | NPPES |
| Ohio | MEDICAID | 2837943 |
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