Blodgett, Andrew Deaton
Blodgett, Andrew Deaton is an individual health care provider with primary practice located at 19830 Zion Ave , Cornelius NC 28031-8495. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blodgett, Andrew Deaton can be contacted via phone (704) 384-1782.Contact Information
Primary practice address
19830 Zion Ave
Cornelius NC 28031-8495
Phone: (704) 384-1782
Fax: (704) 384-1783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2006-00275 | North Carolina |
Profile Details
| NPI number | 1396887485 |
|---|---|
| LBN Legal business name | Blodgett, Andrew Deaton |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Jun 11th, 2021 - about 3 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 | 1396887485 | NPPES |
| North Carolina | MEDICAID | 5908164 |
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