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Contact Information

MITCHELL BLOOM, MD
OAK BRANCH DRIVE
SUITE 7E
GREENSBORO, NC27407-2380
 Phone: 336-405-7575
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MITCHELL BLOOM · (Male)

NPI # 1811399850
Status Active
Credentials MD
Entity Individual
Enumeration date 09/22/2014
Last updated 10/29/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 38015
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.

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