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Carl L. Blomenkamp,d.c.,p.c.
Clinic/Center in Bolivar, Missouri
NPI 1316265127

Carl L. Blomenkamp,d.c.,p.c. is a Clinic/Center based in Bolivar, MO. Carl L. Blomenkamp,d.c.,p.c. practices in Bolivar, MO. The NPI Number for Carl L. Blomenkamp,d.c.,p.c. is 1316265127 and holds a License No. 5008 (Missouri).

The current practice location address for Carl L. Blomenkamp,d.c.,p.c. is 2853 W Broadway St, Bolivar, MO and can be reached out via phone at 417-326-3888.

Location: 2853 W Broadway St, Bolivar, MO, 65613-3379
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316265127
Provider Name
Carl L. Blomenkamp,d.c.,p.c.
Credential
Provider Entity Type
Organization
Address
2853 W Broadway St, Bolivar, MO, 65613-3379
Phone Number
417-326-3888
Fax Number
Provider Enumeration Date
05/04/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5008 01 MO CHIROPRACTIC LICENSE
institution
Provider Business Practice Location Address Details
Address
2853 W Broadway St
City
Bolivar
State
Missouri
Zip
65613-3379
Phone Number
417-326-3888
Fax Number
person
Provider Business Mailing Address Details
Address
2853 W Broadway St
City
Bolivar
State
Missouri
Zip
65613-3379
Phone Number
417-326-3888
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
5008 (Missouri)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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