Bloomquist, Sheila Eva
Bloomquist, Sheila Eva is an individual health care provider with primary practice located at 101 E State Highway 260 , Payson AZ 85541-4921. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bloomquist, Sheila Eva can be contacted via phone (928) 478-8905.Contact Information
Primary practice address
101 E State Highway 260
Payson AZ 85541-4921
Phone: (928) 478-8905
Fax: (928) 478-8915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036112093 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 40881 | Arizona |
Profile Details
| NPI number | 1750425849 |
|---|---|
| LBN Legal business name | Bloomquist, Sheila Eva |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Oct 23rd, 2013 - about 12 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 | 1750425849 | NPPES |
| Other | 178726 | AHCCCS # | |
| MEDICAID | 178726 | AHCCCS # |
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