Blomenkamp, Carl L
Blomenkamp, Carl L is an sole proprietor health care provider with primary practice located at 2853 W Broadway St , Bolivar MO 65613-3379. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Blomenkamp, Carl L can be contacted via phone (417) 326-3888.Contact Information
Primary practice address
2853 W Broadway St
Bolivar MO 65613-3379
Phone: (417) 326-3888
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5008 | Missouri |
Profile Details
| NPI number | 1194881169 |
|---|---|
| LBN Legal business name | Blomenkamp, Carl L |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2006 |
| Last updated | May 3rd, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194881169 | NPPES |
| Missouri | Other | 5008 | MO LISCENSE # |
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