Carl L. Blomenkamp,d.c.,p.c. | |
2853 W Broadway St Bolivar MO 65613-3379 | |
(417) 326-3888 | |
Not Available |
Full Name | Carl L. Blomenkamp,d.c.,p.c. |
---|---|
Speciality | Clinic/center |
Location | 2853 W Broadway St, Bolivar, Missouri |
Authorized Official Name and Position | Carl Lawrence Blomenkamp (DIRECTOR) |
Authorized Official Contact | 4173263888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carl L. Blomenkamp,d.c.,p.c. 2853 W Broadway St Po Box 16 Bolivar MO 65613-3379 Ph: (417) 326-3888 | Carl L. Blomenkamp,d.c.,p.c. 2853 W Broadway St Bolivar MO 65613-3379 Ph: (417) 326-3888 |
NPI Number | 1316265127 |
---|---|
Provider Enumeration Date | 05/04/2010 |
Last Update Date | 05/04/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316265127 | NPI | - | NPPES |
5008 | Other | MO | CHIROPRACTIC LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 5008 (Missouri) | Primary |
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