Blodgett, Thomas P
Blodgett, Thomas P is an sole proprietor health care provider with primary practice located at 39 Hidden Valley Dr , Bidwell OH 45614-9591. He recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as his primary health care specialty. Blodgett, Thomas P can be contacted via phone (740) 446-7623.Contact Information
Primary practice address
39 Hidden Valley Dr
Bidwell OH 45614-9591
Phone: (740) 446-7623
Fax: (740) 446-7643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 35073950B | Ohio |
Profile Details
| NPI number | 1619059516 |
|---|---|
| LBN Legal business name | Blodgett, Thomas P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Apr 13th, 2010 - about 14 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 | 1619059516 | NPPES |
| Ohio | MEDICAID | 2065394 |
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