Larry E. Blossom is a Professional in Pueblo, Colorado. Larry E. Blossom practices all healthcare services and medical treatments related to Professional. The NPI Number for Larry E. Blossom is 1366503138. The last update date is 2022-04-19.
Larry E. Blossom's current location address is 611 S Union Ave Apt A, Pueblo, Colorado. You can contact this provider via phone number 7196964252. The mailing address for Larry E. Blossom is 611 S Union Ave Apt A, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry E. Blossom |
|---|---|
| Address | 611 S Union Ave Apt A, Pueblo, Colorado |
| Phone Number | 7196964252 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.A. |
NPI Number Detail
| NPI Number | 1366503138 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2022-04-19 |
Provider Mailing Address Detail
| Address | 611 S Union Ave Apt A |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810042250 |
| Phone Number | 7196964252 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 701002333 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5409152 | VA | -- | |
| 5409179 | VA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Larry E. Blossom by the Centers for Medicare & Medicaid Services (CMS)?
The Larry E. Blossom has been assigned the NPI (National Provider Identifier) 1366503138. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Larry E. Blossom is physically located?
The Larry E. Blossom is physically situated at the following address: 611 S Union Ave Apt A, Pueblo, CO, 810042250.
What is Larry E. Blossom's area of expertise and its corresponding taxonomy classification?
The Larry E. Blossom's field of specialization is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1366503138 assigned to Larry E. Blossom?
The Larry E. Blossom was issued its 1366503138 on 2006-12-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Larry E. Blossom's information last updated?
The Larry E. Blossom's information was last updated on 2022-04-19.
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