Bledsoe, Todd B
Bledsoe, Todd B is an individual health care provider with primary practice located at 825 Se Bishop Blvd Ste 200 , Pullman WA 99163-5537. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bledsoe, Todd B can be contacted via phone (509) 332-2517.Contact Information
Primary practice address
825 Se Bishop Blvd Ste 200
Pullman WA 99163-5537
Phone: (509) 332-2517
Fax: (509) 334-9247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA-390 | Idaho |
Profile Details
| NPI number | 1235296492 |
|---|---|
| LBN Legal business name | Bledsoe, Todd B |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Dec 29th, 2009 - about 15 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 | 1235296492 | NPPES |
| Idaho | MEDICAID | 003602100 |
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