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Contact Information

MISTY L BLOMQUIST, L.AC
1244 AMERICAN WAY
LIBERTYVILLE, IL60048-3936
 Phone: 847-549-9595
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for MISTY L BLOMQUIST · (Female)

NPI # 1902140916
Status Active
Credentials L.AC
Entity Individual
Enumeration date 11/15/2012
Last updated 11/15/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 198001098
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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