Pedersen, Ted T

Pedersen, Ted T is an sole proprietor health care provider with primary practice located at 3900 Truxtun Ave , Bakersfield CA 93309-0600. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Pedersen, Ted T can be contacted via phone (661) 325-4446.

Contact Information

Primary practice address
3900 Truxtun Ave Bakersfield CA 93309-0600
Fax: (661) 322-9313
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 155260 California

Profile Details

NPI number 1821138330
LBN Legal business name Pedersen, Ted T
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821138330 NPPES
California Other 77-112765 FED ID NUMBER

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