Blodgett, Benjamin

Blodgett, Benjamin is an individual health care provider with primary practice located at 266 Joule St , Alcoa TN 37701-2422. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Blodgett, Benjamin can be contacted via phone (865) 984-3864.

Contact Information

Primary practice address
266 Joule St Alcoa TN 37701-2422
Phone: (865) 984-3864
Fax: (865) 380-4095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DPM000000835 Tennessee
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X DPM000000835 Tennessee

Profile Details

NPI number 1831572296
LBN Legal business name Blodgett, Benjamin
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2015
Last updated Jun 9th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1831572296 NPPES
Tennessee MEDICAID Q037959

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