Bloodworth, Andrea
Bloodworth, Andrea is an sole proprietor health care provider with primary practice located at 3625 Youree Dr , Shreveport LA 71105-2121. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Bloodworth, Andrea can be contacted via phone (318) 779-1158.Contact Information
Primary practice address
3625 Youree Dr
Shreveport LA 71105-2121
Phone: (318) 779-1158
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1639717853 |
|---|---|
| LBN Legal business name | Bloodworth, Andrea |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2019 |
| Last updated | Jun 23rd, 2020 - about 5 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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