Blons, Charles Roderick
Blons, Charles Roderick is an sole proprietor health care provider with primary practice located at 9001 E Bloomington Fwy Suite 139, Bloomington MN 55420-3435. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Blons, Charles Roderick can be contacted via phone (952) 881-6797.Contact Information
Primary practice address
9001 E Bloomington Fwy Suite 139
Bloomington MN 55420-3435
Phone: (952) 881-6797
Fax: (952) 881-2028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP4351 | Minnesota |
Profile Details
| NPI number | 1578527628 |
|---|---|
| LBN Legal business name | Blons, Charles Roderick |
| Credentials | PH.D., L.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Jul 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578527628 | NPPES |
| Minnesota | Other | 295L6BL | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 30247-02 | BLUE CROSS BLUE SHIELD |
| Minnesota | MEDICAID | 430048300 | BLUE CROSS BLUE SHIELD |
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