Bemenderfer, Theodore Joseph

Bemenderfer, Theodore Joseph is an sole proprietor health care provider with primary practice located at 1145 Sturgis Road , Twentynine Palms CA 92278. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bemenderfer, Theodore Joseph can be contacted via phone (317) 752-3134.

Contact Information

Primary practice address
1145 Sturgis Road Twentynine Palms CA 92278
Phone: (317) 752-3134
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20043728A Indiana

Profile Details

NPI number 1780308197
LBN Legal business name Bemenderfer, Theodore Joseph
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2022
Last updated Aug 8th, 2023 - 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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