Blanz, Larry Theodore
Blanz, Larry Theodore is an sole proprietor health care provider with primary practice located at 1900 Church St 300 , Nashville TN 37203-2285. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Blanz, Larry Theodore can be contacted via phone (615) 337-2026.Contact Information
Primary practice address
1900 Church St 300
Nashville TN 37203-2285
Phone: (615) 337-2026
Fax: (815) 301-9511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | P 1037 | Tennessee |
Profile Details
| NPI number | 1073591194 |
|---|---|
| LBN Legal business name | Blanz, Larry Theodore |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Aug 8th, 2015 - about 9 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 | 1073591194 | NPPES |
| Tennessee | MEDICAID | 3684193 |
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