Individual
DR. ELLEN MARIE BLOMERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
215 NEWBURY ST, SUITE 102, PEABODY, MA 01960-2414
(978) 535-6155
(978) 535-1685
Mailing address
215 NEWBURY ST, SUITE 102, PEABODY, MA 01960-2414
(978) 535-6155
(978) 535-1685
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 846
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y35601
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
07/30/2006
Last updated
07/08/2007
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