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
Health care specialties
| Specialty | Code | License # | 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.
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