Blomberg, Kristi

Blomberg, Kristi is an individual health care provider with primary practice located at 1601 Nw 114Th St , Clive IA 50325-7007. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Blomberg, Kristi can be contacted via phone (515) 222-7000.

Contact Information

Primary practice address
1601 Nw 114Th St Clive IA 50325-7007
Fax: (515) 222-2737
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29464 Iowa

Profile Details

NPI number 1750392809
LBN Legal business name Blomberg, Kristi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Apr 10th, 2009 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750392809 NPPES
Iowa MEDICAID 0131763

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