Blomstrom, Eugenia M.

Blomstrom, Eugenia M. is an individual health care provider with primary practice located at 616 W Russell Pl , San Antonio TX 78212-3658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Blomstrom, Eugenia M. can be contacted via phone (800) 257-8715.

Contact Information

Primary practice address
616 W Russell Pl San Antonio TX 78212-3658
Phone: (800) 257-8715
Fax: (800) 819-1655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 227021 Texas

Profile Details

NPI number 1528078078
LBN Legal business name Blomstrom, Eugenia M.
Credentials RN, CNS,PMH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jun 12th, 2009 - about 15 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 1528078078 NPPES
Texas Other 8N8508 BLUE CROSS BLUE SHIELD
Texas MEDICAID 171808203 BLUE CROSS BLUE SHIELD
Texas MEDICAID 171808202 BLUE CROSS BLUE SHIELD

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