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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

EDDYE BLOSSOM II, MD
4864 JACKSON ST
MONROE, LA71202-6400
 Phone: 318-330-7626
 Fax: 318-330-7648
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for EDDYE BLOSSOM II · (Male)

NPI # 1003028762
Status Active
Credentials MD
Entity Individual
Enumeration date 05/04/2007
Last updated 01/24/2013 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E-6247
  • LA License # MD.204270
  • TN License # 45438
  • LA Medicaid 2138014
Hospital affiliation(s) Not Available
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.

Reviews for EDDYE BLOSSOM II

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1
1.0
  • 09/05/2011
    1 Stars (1 out of 5) by
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    Review for EDDYE BLOSSOM II

    I was not made aware of a $200 new patient fee.

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