Tedlock, Sonja Sue

Tedlock, Sonja Sue is an sole proprietor health care provider with primary practice located at 2233 W Jefferson St , Kokomo IN 46901-4185. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Tedlock, Sonja Sue can be contacted via phone (765) 457-9175.

Contact Information

Primary practice address
2233 W Jefferson St Kokomo IN 46901-4185
Phone: (765) 457-9175
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 28141196A Indiana

Profile Details

NPI number 1750954798
LBN Legal business name Tedlock, Sonja Sue
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2021
Last updated Jul 19th, 2021 - about 3 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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