Bloomquist, Cleo B

Bloomquist, Cleo B is an individual health care provider with primary practice located at 16030 Bothell Everett Hwy Ste 140 , Mill Creek WA 98012-1273. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Bloomquist, Cleo B can be contacted via phone (425) 338-9005.

Contact Information

Primary practice address
16030 Bothell Everett Hwy Ste 140 Mill Creek WA 98012-1273
Phone: (425) 338-9005
Fax: (426) 337-0931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT00003405 Washington

Profile Details

NPI number 1265462147
LBN Legal business name Bloomquist, Cleo B
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jul 8th, 2007 - about 18 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 1265462147 NPPES
Washington Other BL5114 REGENCE PIN#
Washington MEDICAID 8367559 REGENCE PIN#

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