Provider Demographics
NPI:1750916995
Name:BLOOMQUIST, BARBARA ELISABET (DC)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ELISABET
Last Name:BLOOMQUIST
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6770 SPRING VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:ELMORE
Mailing Address - State:AL
Mailing Address - Zip Code:36025-2026
Mailing Address - Country:US
Mailing Address - Phone:334-652-2660
Mailing Address - Fax:844-654-7165
Practice Address - Street 1:3363 HIGHWAY 14
Practice Address - Street 2:
Practice Address - City:MILLBROOK
Practice Address - State:AL
Practice Address - Zip Code:36054-2424
Practice Address - Country:US
Practice Address - Phone:334-285-8483
Practice Address - Fax:844-654-7165
Is Sole Proprietor?:No
Enumeration Date:2020-03-09
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2636111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor