Bledsoe, Rickie
Bledsoe, Rickie is an individual health care provider with primary practice located at 2435 College Dr , Texarkana TX 75501. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bledsoe, Rickie can be contacted via phone (903) 255-1241.Contact Information
Primary practice address
2435 College Dr
Texarkana TX 75501
Phone: (903) 255-1241
Fax: (903) 223-8407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 11135 | Texas |
Profile Details
| NPI number | 1184177222 |
|---|---|
| LBN Legal business name | Bledsoe, Rickie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2016 |
| Last updated | Jul 25th, 2016 - 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 | 1184177222 | NPPES |
| Texas | Other | 11135 | LCDC |
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