Blakeslee, Timothy

Blakeslee, Timothy is an individual health care provider with primary practice located at 2900 Chanticleer Ave , Santa Cruz CA 95065-1816. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Blakeslee, Timothy can be contacted via phone (831) 477-2325.

Contact Information

Primary practice address
2900 Chanticleer Ave Santa Cruz CA 95065-1816
Phone: (831) 477-2325
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3552 California

Profile Details

NPI number 1871572917
LBN Legal business name Blakeslee, Timothy
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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