Keebler Bloom, Chandra Nicole
Keebler Bloom, Chandra Nicole is an individual health care provider with primary practice located at 975 Sereno Dr , Vallejo CA 94589-2441. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Keebler Bloom, Chandra Nicole can be contacted via phone (707) 438-5077.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | A131366 | California |
Profile Details
| NPI number | 1497018238 |
|---|---|
| LBN Legal business name | Keebler Bloom, Chandra Nicole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2012 |
| Last updated | Jan 11th, 2022 - about 3 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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