Belott, Todd P
Belott, Todd P is an sole proprietor health care provider with primary practice located at 1208 Medical Plaza Ct , Granbury TX 76048-5653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Belott, Todd P can be contacted via phone (817) 579-7562.Contact Information
Primary practice address
1208 Medical Plaza Ct
Granbury TX 76048-5653
Phone: (817) 579-7562
Fax: (817) 579-7592
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | K2146 | Texas |
Profile Details
| NPI number | 1164445755 |
|---|---|
| LBN Legal business name | Belott, Todd P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Sep 10th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164445755 | NPPES |
| Texas | MEDICAID | 366370001 | |
| Texas | MEDICAID | 1555266 |
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