Rosenbloom, Ray M
Rosenbloom, Ray M is an sole proprietor health care provider with primary practice located at 1114 Lost Creek Blvd Ste 320 , Austin TX 78746. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rosenbloom, Ray M can be contacted via phone (512) 983-6816.Contact Information
Primary practice address
1114 Lost Creek Blvd Ste 320
Austin TX 78746
Phone: (512) 983-6816
Fax: (512) 858-2053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301002325 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 33167 | Texas |
Profile Details
| NPI number | 1124196985 |
|---|---|
| LBN Legal business name | Rosenbloom, Ray M |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Aug 4th, 2019 - about 7 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 | 1124196985 | NPPES |
| Other | 11287287 | CAQH | |
| Other | 620F34837 | CAQH |
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