Bloomquist, Thomas Charles

Bloomquist, Thomas Charles is an individual health care provider with primary practice located at 35 Miles St , Damariscotta ME 04543-4047. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bloomquist, Thomas Charles can be contacted via phone (207) 563-4146.

Contact Information

Primary practice address
35 Miles St Damariscotta ME 04543-4047
Phone: (207) 563-4146
Fax: (207) 563-3717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 048605-23-11 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RNA83341 Maine

Profile Details

NPI number 1710986419
LBN Legal business name Bloomquist, Thomas Charles
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Jun 28th, 2013 - about 13 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 1710986419 NPPES
Nebraska MEDICAID 30221746

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