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
Phone: (615) 859-1928
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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