Blickenstaff, Theron

Blickenstaff, Theron is an sole proprietor health care provider with primary practice located at 709 Clandon Dr , Kingsport TN 37660-5036. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Blickenstaff, Theron can be contacted via phone (423) 378-3267.

Contact Information

Primary practice address
709 Clandon Dr Kingsport TN 37660-5036
Phone: (423) 378-3267
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 14559 Tennessee

Profile Details

NPI number 1467640375
LBN Legal business name Blickenstaff, Theron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2007
Last updated Oct 5th, 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.

Request for update

Popular Providers