Blodgett, Teddy

Blodgett, Teddy is an sole proprietor health care provider with primary practice located at 7761 Fm 14 Trlr 60, Tyler TX 75706-7854. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Blodgett, Teddy can be contacted via phone (903) 216-5427.

Contact Information

Primary practice address
7761 Fm 14 Trlr 60 Tyler TX 75706-7854
Fax: (903) 526-4110
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 26-3003000 Texas

Profile Details

NPI number 1306244470
LBN Legal business name Blodgett, Teddy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2014
Last updated Dec 5th, 2014 - about 10 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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