| Charles Blons, Pllc | |
|
9001 E Bloomington Fwy Suite 139 Bloomington MN 55420-3435 | |
| (952) 881-6797 | |
| (952) 881-2028 |
| Full Name | Charles Blons, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 9001 E Bloomington Fwy, Bloomington, Minnesota |
| Authorized Official Name and Position | Charles Roderick Blons (PRESIDENT) |
| Authorized Official Contact | 9528816797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Blons, Pllc 9001 E Bloomington Fwy Suite 139 Bloomington MN 55420-3435 Ph: (952) 881-6797 | Charles Blons, Pllc 9001 E Bloomington Fwy Suite 139 Bloomington MN 55420-3435 Ph: (952) 881-6797 |
| NPI Number | 1326090317 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 07/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326090317 | NPI | - | NPPES |
| 295L6BL | Other | MN | BLUE CROSS BLUE SHIELD |
| 30247-02 | Other | MN | PREFERRED ONE |
| 430048300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP4351 (Minnesota) | Primary |
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