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Contact Information

ROGER E BLOOMER, MD
2200 SPRINGPORT RD STE 500
JACKSON, MI49202
 Phone: 517-205-3273
 Fax: 517-205-1698
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for ROGER E BLOOMER · (Male)

NPI # 1235196486
Status Active
Credentials MD
Entity Individual
Enumeration date 04/28/2006
Last updated 09/29/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301075147
  • MI Medicaid 104578484
Hospital affiliation(s)
  • ALLEGIANCE HEALTH - (Acute Care)
    205 N EAST AVE
    JACKSON, MI 49201
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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