Debloom, James R
Debloom, James R is an sole proprietor health care provider with primary practice located at 300 Ashby Park Lane , Greenville SC 29607-6903. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Debloom, James R can be contacted via phone (864) 288-1154.Contact Information
Primary practice address
300 Ashby Park Lane
Greenville SC 29607-6903
Phone: (864) 288-1154
Fax: (864) 288-2554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | TL28759 | South Carolina |
Profile Details
| NPI number | 1396777124 |
|---|---|
| LBN Legal business name | Debloom, James R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Dec 2nd, 2010 - about 14 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 | 1396777124 | NPPES |
| South Carolina | MEDICAID | ID287594 |
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