Ezell, Theo Howard

Ezell, Theo Howard is an sole proprietor health care provider with primary practice located at 525 Rivergate Pkwy Suite # 2, Goodlettsville TN 37072-2078. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ezell, Theo Howard can be contacted via phone (615) 859-1928.

Contact Information

Primary practice address
525 Rivergate Pkwy Suite # 2 Goodlettsville TN 37072-2078
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD 493 Tennessee

Profile Details

NPI number 1033386230
LBN Legal business name Ezell, Theo Howard
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2008
Last updated May 15th, 2008 - about 16 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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