Bledsoe, Carey A

Bledsoe, Carey A is an sole proprietor health care provider with primary practice located at 901 San Bernardino Rd Suite 104, Upland CA 91786-4912. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Bledsoe, Carey A can be contacted via phone (909) 946-6643.

Contact Information

Primary practice address
901 San Bernardino Rd Suite 104 Upland CA 91786-4912
Phone: (909) 946-6643
Fax: (909) 946-6130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E4008 California
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 260 New Mexico

Profile Details

NPI number 1558352971
LBN Legal business name Bledsoe, Carey A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2005
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558352971 NPPES
California MEDICAID 000E40080

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