Blomquist, Thomas M

Blomquist, Thomas M is an individual health care provider with primary practice located at 1900 Boise Ave Ste 420, Loveland CO 80538-5004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Blomquist, Thomas M can be contacted via phone (970) 669-3212.

Contact Information

Primary practice address
1900 Boise Ave Ste 420 Loveland CO 80538-5004
Phone: (970) 669-3212
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 36818 Colorado

Profile Details

NPI number 1215996178
LBN Legal business name Blomquist, Thomas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Oct 7th, 2010 - about 14 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 1215996178 NPPES
Colorado MEDICAID 01368174

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