Blomquist, Joan L

Blomquist, Joan L is an individual health care provider with primary practice located at 6569 N Charles St Ste 307, Baltimore MD 21204-6831. She recently has only one registered license in Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, which is considered as her primary health care specialty. Blomquist, Joan L can be contacted via phone (443) 849-2767.

Contact Information

Primary practice address
6569 N Charles St Ste 307 Baltimore MD 21204-6831
Phone: (443) 849-2767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X D50546 Maryland

Profile Details

NPI number 1831117472
LBN Legal business name Blomquist, Joan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Feb 14th, 2014 - about 11 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 1831117472 NPPES
Maryland MEDICAID 091700100

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