Bloomquist, Michael Leonard
Bloomquist, Michael Leonard is an individual health care provider with primary practice located at University Of Minnesota Physicians 2312 South 6Th Street, Suite F256 / 2B West, Minneapolis MN 55454. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bloomquist, Michael Leonard can be contacted via phone (612) 273-8700.Contact Information
Primary practice address
University Of Minnesota Physicians 2312 South 6Th Street, Suite F256 / 2B West
Minneapolis MN 55454
Phone: (612) 273-8700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP 1196 | Minnesota |
Profile Details
| NPI number | 1265478473 |
|---|---|
| LBN Legal business name | Bloomquist, Michael Leonard |
| Credentials | PHD, LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265478473 | NPPES |
| Minnesota | Other | 768028 | ARAZ |
| Minnesota | Other | 9G743BL | ARAZ |
| Minnesota | Other | 112423 | ARAZ |
| Minnesota | Other | 61-39497 | ARAZ |
| Minnesota | Other | C626 | ARAZ |
| Minnesota | Other | 0920001 | ARAZ |
| Minnesota | Other | HP29376 | ARAZ |
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