Bloink, Steven W

Bloink, Steven W is an individual health care provider with primary practice located at 1750 N Wymount Terrace Dr , Provo UT 84602-7600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bloink, Steven W can be contacted via phone (801) 422-2771.

Contact Information

Primary practice address
1750 N Wymount Terrace Dr Provo UT 84602-7600
Fax: (970) 677-2540
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28892 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 186885-1205 Utah

Profile Details

NPI number 1891787891
LBN Legal business name Bloink, Steven W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Jul 18th, 2019 - about 5 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 1891787891 NPPES
Colorado MEDICAID 87039842
Colorado MEDICAID 01288927

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